Information Collection

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

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

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Information Collection (IC) Details

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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:

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	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

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