Single Family Application For Insurance Benefits (form Hud-27011)

SINGLE FAMILY APPLICATION FOR INSURANCE BENEFITS (FORM HUD-27011)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0093 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	SINGLE FAMILY APPLICATION FOR INSURANCE BENEFITS (FORM HUD-27011)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD 27011	No	No
Form	PARTS A, B	No	No
Form	C, D, AND E	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,000	10,000	40,000
Annual IC Time Burden (Hours)	70,500	63,460	7,040
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.