Information Collection

HECM Counseling Client Survey

IC 188036 under ICR 200902-2502-002 · OMB 2502-0585.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0585 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 92911 HECM Counseling Client Survey	Form
HUD 92911 Home Equity Conversion Mortgage Cpunseling Client Survey HUD92911.doc	Form

IC Title:

HECM Counseling Client Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 214

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD 92911	Home Equity Conversion Mortgage Cpunseling Client Survey	HUD92911.doc		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	84	84
Annual IC Cost Burden (Dollars)	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.