Single Family Application for Insurance Benefits

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-27011, Parts A Single Family Application for Insurance Benefits	Form and Instruction	Modified	Available
83C_2502-0429_LA_.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2006-11-30	Available
83C_2502-0429_LA_.doc	Supporting Statement A	Uploaded 2006-11-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
42065	Single Family Application for Insurance Benefits	Form and Instruction	Modified

ICR Details

OMB Control No: 2502-0429	ICR Reference No: 200611-2502-004
Status: Historical Active	Previous ICR Reference No: 200610-2502-008
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Single Family Application for Insurance Benefits
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/30/2006
	Date Received in OIRA: 11/30/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	11/30/2009	11/30/2009
Responses	281,150	0	281,150
Time Burden (Hours)	338,641	0	337,441
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection is used to provide HUD the information needed to process and pay claims on defaulted FHA-insured home mortgage loans.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 145	07/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 204	10/23/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Single Family Application for Insurance Benefits	HUD-50002, HUD-27011, Parts A,B,C,D &E	Single Family Application for Insurance Benefits ,   Request to Exceed Cost Limits for Preservation and Protection

---

ICR Summary of Burden

table that charts list of burden

	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	281,150	281,150	0	0	0	0
Annual Time Burden (Hours)	338,641	337,441	0	1,200	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When this ICR was submitted in October the state of Louisiana had not completed an action plan for disaster funds. The Governor of Louisiana is anxious to provide additional assistance to homeowners who suffered flood and/or wind damage to their residences from Hurricanes Katrina and or Rita.

---

Annual Cost to Federal Government: $14,057,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/30/2006

---