Personal Financial and Credit Statement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0001 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-92417 Personal Financial and Credit Statement Form
HUD-92417 Personal Financial and 92417.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Personal Financial and Credit Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 207.1(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-92417	Personal Financial and	92417.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: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	16,000	16,000
Annual IC Cost Burden (Dollars)	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.