Information Collection

Debt Resolution Program

IC 27223 under ICR 200912-2502-003 · OMB 2502-0483.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0483 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-56141 Debt Resolution Program Settlement Offer Debt Resolution Program	Form and Instruction
Form HUD-56142 Debt Resolution Program Financial Statement Debt Resolution Program	Form and Instruction
Form HUD-56146 Debt Resolution Program Repayment Agreement Debt Resolution Program	Form and Instruction
Form HUD-92090 HUD PAD Authorization Debt Resolution Program	Form and Instruction
HUD-56141 Debt Resolution Program Settlement Offer 56141.pdf	Form and Instruction
HUD-56142 Debt Resolution Program Financial Statement 56142.pdf	Form and Instruction
HUD-56146 Debt Resolution Program Repayment Agreement 56146.pdf	Form and Instruction
HUD-92090 HUD PAD Authorization 92090.pdf	Form and Instruction

IC Title:

Debt Resolution Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 901.8

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-56141	Yes	Yes	Fillable Printable
Form and Instruction	HUD-56142	Yes	Yes	Fillable Printable
Form and Instruction	HUD-56146	Yes	Yes	Fillable Printable
Form and Instruction	HUD-92090	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,740	2,740
Annual IC Time Burden (Hours)	852	852
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.

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