Information Collection

Debt Resolution Program

IC 27223 under ICR 200610-2502-006 · OMB 2502-0483.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.