Preauthorized Debit (PAD) Request

ICR 200412-2502-001

OMB: 2502-0424

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
27187 Migrated
ICR Details
2502-0424 200412-2502-001
Historical Active 200111-2502-001
HUD/OH
Preauthorized Debit (PAD) Request
Extension without change of a currently approved collection   No
Regular
Approved without change 02/15/2005
Retrieve Notice of Action (NOA) 12/08/2004
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008 02/28/2005
42 0 70
10 0 18
0 0 0

The information is used to establish a direct electronic transfer of payments from a financial institution to HUD when debtors have established a repayment plan and desire an automated transfer of funds.

None
None


No

1
IC Title Form No. Form Name
Preauthorized Debit (PAD) Request HUD-92090

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42 70 0 0 -28 0
Annual Time Burden (Hours) 10 18 0 0 -8 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/08/2004


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