Information Collection

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

IC 145710 under ICR 198904-2535-002 · OMB 2535-0093.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUD 27011	No	No
Form	C, D, AND E	No	No
Form	PARTS A, B	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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	110,000	60,000	50,000
Annual IC Time Burden (Hours)	150,300	79,800	70,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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