Information Collection

Insured Mortgage Loan Servicing of Delinquent, Default and Foreclosure with Service Members Act

IC 188867 under ICR 200911-2502-006 · OMB 2502-0584.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0584 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
pa426h.pdf	Other-Booklet
92070.pdf	Instruction
HUD 50012 Mortgagee's Request for Extensions of Time 50012.pdf	Form
HUD 92403-CA Requisition for Disbursement of Funds 9539.pdf	Form
HUD-27011 Single Family Application for Insurance Benefits 27011.pdf	Form
HUD 92068-a Monthly Delinquent Loan Report 92068-a.pdf	Form and Instruction

IC Title:

Insured Mortgage Loan Servicing of Delinquent, Default and Foreclosure with Service Members Act

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 203.330 24 CFR 203.25 24 CFR 203.331

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Booklet			pa426h.pdf	Yes	No	Fillable Printable
Form	HUD 50012	Mortgagee's Request for Extensions of Time	50012.pdf	Yes	No	Fillable Printable
Instruction			92070.pdf	Yes	No	Fillable Printable
Form	HUD 92403-CA	Requisition for Disbursement of Funds	9539.pdf	Yes	No	Fillable Printable
Form	HUD-27011	Single Family Application for Insurance Benefits	27011.pdf	Yes	No	Fillable Printable
Form and Instruction	HUD 92068-a	Monthly Delinquent Loan Report	92068-a.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 223

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	69,178,200	69,178,200
Annual IC Time Burden (Hours)	5,456,245	5,456,245
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.