Home Equity Conversion Mortgage (HECM) Counseling Standardization and Roster

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 92904 Application for HECM Counselor Roster	Form and Instruction	Modified	Available
ML HECM Broker.doc	Supplementary Document	Uploaded 2012-08-15	Available
Supporting_Statement_A2_2502-0586.docx	Supporting Statement A	Uploaded 2012-08-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46649	Application for HECM Counselor Roster	Form and Instruction	Modified

ICR Details

OMB Control No: 2502-0586	ICR Reference No: 201202-2502-005
Status: Historical Active	Previous ICR Reference No: 200907-2502-004
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Home Equity Conversion Mortgage (HECM) Counseling Standardization and Roster
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 with change	Conclusion Date: 08/17/2012
	Date Received in OIRA: 06/19/2012
Terms of Clearance: As shown by the changes made to this collection, HUD shall only account for burden covered by the PRA.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	405	0	605
Time Burden (Hours)	651	0	851
Cost Burden (Dollars)	0	0	0

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Abstract: This PRA package provides reporting burden for individuals to apply to be placed on the HECM counselor roster. Individuals are required to successfully pass a standardized HECM exam and provide information collected on proposed form HUD 92904. HUD uses the information provided to determine the applicants' eligibility to be placed on the HECM counselor roster.

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Authorizing Statute(s): US Code: 12 USC 1708 Name of Law: National Housing Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2502-AI34	Final or interim final rulemaking	72 FR 4	01/08/2007

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 15117	03/14/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 35708	06/14/2012
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for HECM Counselor Roster	HUD 92904	Application for HECM Counselor Roster

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ICR Summary of Burden

table that charts list 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	405	605	0	0	-200	0
Annual Time Burden (Hours)	651	851	0	0	-200	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: Standardized testing is not covered by PRA.

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Annual Cost to Federal Government: $19,200

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

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Common Form ICR:  No

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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: 06/19/2012

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