Debt Resolution Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0483 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-92090 Debt Resolution Program Form and Instruction
HUD-56141 Debt Resolution Program Settlement Offer 56141-REV.pdf Form and Instruction
HUD-56142 Debt Resolution Program Financial Statement 56142-REV.pdf Form and Instruction
HUD-56146 Debt Resolution Program Repayment Agreement 56146-REV 2.doc Form and Instruction
HUD-92090 HUD PAD Authorization 92090.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Debt Resolution Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 901.8

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	HUD-92090	HUD PAD Authorization	92090.pdf	No	Fillable Printable
Form and Instruction	HUD-56146	Debt Resolution Program Repayment Agreement	56146-REV 2.doc	No	Fillable Printable
Form and Instruction	HUD-56141	Debt Resolution Program Settlement Offer	56141-REV.pdf	No	Fillable Printable
Form and Instruction	HUD-56142	Debt Resolution Program Financial Statement	56142-REV.pdf	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,740	1,100	1,640
Annual IC Time Burden (Hours)	852	5	847
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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