Survey of Participating Jurisdicitons in ADDI/HOME Programs

OMB control #_______, expiration date ________

Appendix A:
Data Verification and Collection of ADDI/HOME Program Participants

Public Reporting Burden Statement. Public reporting burden for this two-part collection of information is estimated to average a total of 12 hours for each Participating Jurisdiction in this study. This includes the time for locating files, collecting the files, reviewing the files and reporting the data. This information is being collected for the U.S. Department of Housing and Urban Development and will be used to study the impact of downpayment assistance on mortgage delinquency and foreclosure rates in the ADDI and HOME Programs. Response to this request is voluntary. You should not undertake the requested data collection unless this data collection instrument displays a currently valid OMB control number.

Privacy Act Statement. HUD is authorized to collect this information by P.L. 479.48, Stat.1246, 12 USC 1701 et. seq.: and the Community Development Act of 1987, 42 USC 3543, to collect Social Security Numbers. Social Security Numbers are requested here in order to obtain the most accurate information possible on the mortgage delinquency and foreclosure histories of recipients of downpayment assistance received through the ADDI and HOME Programs. The information will be used to establish the rates of mortgage delinquency and foreclosure for recipients of downpayment assistance through ADDI and HOME, i.e., will be used to calculate aggregate statistics. Information on individual recipients of assistance from ADDI and HOME will not be disclosed outside the U.S. Department of Housing and Urban Development except as required and permitted by law.

Data Verification and Collection Instrument

For Section A below: please verify the data on buyers you assisted through the ADDI/HOME programs. If any data is incorrect please correct in the space provided. For Sections B and C: please supply the data requested.

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