Multifamily Insurance Benefits Claims Package

Forms and Documents

Document Name	Status
Form HUD-2741 Multifamily Insurance Benefits Claims Package Form	Modified
Supporting_Statement_-A[1].doc Supporting Statement A	2011-11-30

IC Document Collections

IC ID	Document Title	Status
27174	Multifamily Insurance Benefits Claims Package Form	Modified

ICR Details

OMB Control No: 2502-0418	ICR Reference No: 201107-2502-001
Status: Historical Active	Previous ICR Reference No: 200807-2502-007
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Multifamily Insurance Benefits Claims Package
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/2012
	Date Received in OIRA: 11/30/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	1,125	0	1,350
Time Burden (Hours)	531	0	637
Cost Burden (Dollars)	0	0	0

---

Abstract: When the terms of a Multifamily contract are breached or when a mortgagee meets conditions stated within the Multifamily contract for an automatic assignment, the holder of the mortgage may file for insurance benefits. To receive these benefits, the mortgagee must prepare and submit to HUD the Multifamily Insurance Benefits Claims Package. HUD uses the information collection to determine the insurance benefits owed to the mortgagee.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 39118	07/05/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 66316	10/26/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Multifamily Insurance Benefits Claims Package	HUD-2741, HUD-2742, HUD-2744-A, HUD-2744-B, HUD-2744-C, HUD-2744-D, HUD-2744-E, HUD-434, HUD-1044-D	Instructions for Applications for Insuance Benefits ,   Fiscal Data in Sipport of Claim for Multifamily Mortgage Insurance Benefits ,   Allocation of Mortgage Receipts and Disbursements ,   Mortgagee Reports Project Collections ,   Mortgagee Report Project Disbursements ,   Mortgagee Report of Other Disbursements ,   Mortgagee Report of Special Escrow ,   Statement of Taxes ,   Multifamily Insurance Benefit Claim

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,125	1,350	0	0	-225	0
Annual Time Burden (Hours)	531	637	0	0	-106	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no program changes, however the decrease in responses and burden hours is a result of a decrease in program participation.

---

Annual Cost to Federal Government: $631,302

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/30/2011

---