Application for HECM Counselor Roster

Home Equity Conversion Mortgage (HECM) Counseling Standardization and Roster

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0586 can be found here:

Documents and Forms

Document Name Document Type
Form HUD 92904 Application for HECM Counselor Roster Form and Instruction
HUD 92904 Application for HECM Counselor Roster 92904.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Application for HECM Counselor Roster	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 206 Subpart E

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 92904	Application for HECM Counselor Roster	92904.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 205	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	405	-200	605
Annual IC Time Burden (Hours)	651	-200	851
Annual IC Cost Burden (Dollars)	0	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.