Loan Guarantees for Indian Housing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Sample DHHL Consen Consent to Mortgage	Form	Modified	Available
Form Sample DHHL Lease Department of Hawaiian Home Lands	Form and Instruction	Modified	Available
Form Form 3012 FNMA FHLMC Hawaii Mortgage	Form and Instruction	Modified	Available
Form HUD-Pending No Cash Out Refinance Maximum Mortgage Worksheet	Form and Instruction	Modified	Available
Form HUD-Pending Sample Home Inspection Notice to Borrowers	Form and Instruction	Modified	Available
Form DHHL Form Request for Certification of Eligibility	Form and Instruction	Modified	Available
Form HUD-Pending ADDENDUM TO HUD-1 SETTLEMENT STATEMENT	Form and Instruction	Modified	Available
Form DHHL Form Loan Guarantee Lease Rider	Form and Instruction	Modified	Available
Form Form 3200 FNMA FHLMC Multistate Fixed Rate Note	Form and Instruction	Modified	Available
Form HUD-GFE Good Faith Estimate (GFE)	Form and Instruction	Modified	Available
Form HUD-1 Settlement Statement (HUD-1)	Form and Instruction	Modified	Available
Form HUD-54111 Request for Insurance Endorsement - Attachment D to Mortgage Lette	Form and Instruction	Modified	Repair queued
Form HUD-92900-A /VA Fo HUD/VA Addendum to Uniform Residential Loan Application	Form and Instruction	Modified	Available
Form HUD-Pending Request for Section 184A Case Number	Form and Instruction	Modified	Available
Form HUD-Pending Rider For Section 184A Mortgage (Leasehold)	Form and Instruction	Modified	Available
Form HUD-Pending DHHL Institutional Loan-HUD Processing (No DG) Firm Commitment Submission Checklist	Form and Instruction	Modified	Available
Form HUD-Pending Non Credit Qualifying Streamline Refinance with an Appraisal Refinance Maximum Mortgage Worksheet	Form and Instruction	Modified	Available
Form HUD-Pending Non Credit Qualifying Streamlin Refinance Without an Appraisal Refinance Maximum Mortgage Worksheet	Form and Instruction	Modified	Available
Form HUD-Pending Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refiance Transactions	Form and Instruction	Modified	Available
Form HUD-Pending Recommended Underwriting Submission Checklist Direct Guarantee Cash-out and No Cash-Out Refinances	Form and Instruction	Modified	Available
Form REGZ-TIL Federal Truth-In-Lending Disclosure Statement	Form and Instruction	Modified	Available
Form HUD-50113 Section 184 Delegated Underwriting Authority Firm Comitment Request	Form and Instruction	Modified	Available
Form HUD-50129 Mortgage Credit Analysis Worksheet	Form	Modified	Available
Form HUD-50132 Section 184 Combined MCAWs	Form	Modified	Repair queued
Form HUD-50131 HUD ONAP: Section 184 Loan Guarantee Program-Case Number Request Form	Form and Instruction	Modified	Available
Form HUD-50128 Underwriting Submission Checklist - "Streamline" Refinances-with or without and Appraisal- Qualifying Credit or Non-Qualifying Credit	Form	Modified	Available
Form HUD-50127 Underwriting - Firm Commitment-Submission Checklist Individual Borrowers-Purchase Transactions	Form	Modified	Available
Form HUD-50126 Underwriting Submission Checklist - Cash Out or No Cash Out Refinance	Form	Modified	Available
Form HUD-50125 Single Close 184 Applicant Acknowledgement	Form	Modified	Available
Form HUD-50124 Section 184 Homebuyer Notice	Form and Instruction	Modified	Available
Form HUD-50123 Section 184 Indian Loan Guarantee Program Endorsement Submission	Form and Instruction	Modified	Available
Form HUD-50122 Rider For Section 184 Mortgage (Non-Borrower Pledge of Leashold Interest)	Form and Instruction	Modified	Available
Form HUD-50121 Rider For Section 184 Mortgage Fee Simple Property Only	Form and Instruction	Modified	Available
Form HUD-50120 Rider for Section 184 Individual Allotted Trust Land - No Lease	Form and Instruction	Modified	Repair queued
Form HUD-50119 Post Endorsement Submission Checklist	Form and Instruction	Modified	Available
Form HUD-50117 Model Tribal Mortgage Lending Code	Form and Instruction	Modified	Available
Form HUD-50116 Residential Lease of Tribal Owned Land	Form and Instruction	Modified	Available
Form HUD-50115 Lender Submission Contact Sheet	Form and Instruction	Modified	Available
Form HUD-50114 Land Status and Jurisdiction Form	Form and Instruction	Modified	Available
Form HUD 50112 Construction Loan Rider	Form and Instruction	Modified	Available
Form HUD-50111 Section 184 Addendum to Uniform Resendential Loan Application	Form and Instruction	Modified	Available
Form HUD-50110 Section 184 Warranty of Completion of Construction	Form and Instruction	Modified	Available
Form IRA/FNMA Universal FNMA forms 1003, 1003A, 1004, 1004C, 1004D, 1004MC, 1005, 1006, IRS form 4506-T, Marshall & Swift, form 1007, Freddie Mac form 465	Form and Instruction	Modified	Available
Form Fannie Mae Form 10 Request for Verification of Deposit	Form	Modified	Available
Form Fannie Mae Form 10 Request for Verfication of Employment	Form	Modified	Available
Form Fannie Mae Form 10 Statement of Assets and Liabilities	Form	Modified	Available
831 10-17-12.docx	Supporting Statement A	Uploaded 2012-10-17	Available
Initial Privacy Forms.pdf	Supplementary Document	Uploaded 2012-09-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27857	Loan Guarantees for Indian Housing	Form	Modified	Consent to Mortgage
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Department of Hawaiian Home Lands
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	FNMA FHLMC Hawaii Mortgage
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	No Cash Out Refinance Maximum Mortgage Worksheet
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Sample Home Inspection Notice to Borrowers
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Request for Certification of Eligibility
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	ADDENDUM TO HUD-1 SETTLEMENT STATEMENT
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Loan Guarantee Lease Rider
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	FNMA FHLMC Multistate Fixed Rate Note
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Good Faith Estimate (GFE)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Settlement Statement (HUD-1)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Request for Insurance Endorsement - Attachment D to Mortgage Lette
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	HUD/VA Addendum to Uniform Residential Loan Application
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Request for Section 184A Case Number
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Rider For Section 184A Mortgage (Leasehold)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	DHHL Institutional Loan-HUD Processing (No DG) Firm Commitment Submission Checklist
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Non Credit Qualifying Streamline Refinance with an Appraisal Refinance Maximum Mortgage Worksheet
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Non Credit Qualifying Streamlin Refinance Without an Appraisal Refinance Maximum Mortgage Worksheet
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refiance Transactions
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Recommended Underwriting Submission Checklist Direct Guarantee Cash-out and No Cash-Out Refinances
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Federal Truth-In-Lending Disclosure Statement
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Section 184 Delegated Underwriting Authority Firm Comitment Request
27857	Loan Guarantees for Indian Housing	Form	Modified	Mortgage Credit Analysis Worksheet
27857	Loan Guarantees for Indian Housing	Form	Modified	Section 184 Combined MCAWs
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	HUD ONAP: Section 184 Loan Guarantee Program-Case Number Request Form
27857	Loan Guarantees for Indian Housing	Form	Modified	Underwriting Submission Checklist - "Streamline" Refinances-with or without and Appraisal- Qualifying Credit or Non-Qualifying Credit
27857	Loan Guarantees for Indian Housing	Form	Modified	Underwriting - Firm Commitment-Submission Checklist Individual Borrowers-Purchase Transactions
27857	Loan Guarantees for Indian Housing	Form	Modified	Underwriting Submission Checklist - Cash Out or No Cash Out Refinance
27857	Loan Guarantees for Indian Housing	Form	Modified	Single Close 184 Applicant Acknowledgement
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Section 184 Homebuyer Notice
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Section 184 Indian Loan Guarantee Program Endorsement Submission
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Rider For Section 184 Mortgage (Non-Borrower Pledge of Leashold Interest)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Rider For Section 184 Mortgage Fee Simple Property Only
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Rider for Section 184 Individual Allotted Trust Land - No Lease
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Post Endorsement Submission Checklist
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Model Tribal Mortgage Lending Code
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Residential Lease of Tribal Owned Land
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Lender Submission Contact Sheet
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Land Status and Jurisdiction Form
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Construction Loan Rider
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Section 184 Addendum to Uniform Resendential Loan Application
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	Section 184 Warranty of Completion of Construction
27857	Loan Guarantees for Indian Housing	Form and Instruction	Modified	FNMA forms 1003, 1003A, 1004, 1004C, 1004D, 1004MC, 1005, 1006, IRS form 4506-T, Marshall & Swift, form 1007, Freddie Mac form 465
27857	Loan Guarantees for Indian Housing	Form	Modified	Request for Verification of Deposit
27857	Loan Guarantees for Indian Housing	Form	Modified	Request for Verfication of Employment
27857	Loan Guarantees for Indian Housing	Form	Modified	Statement of Assets and Liabilities

ICR Details

OMB Control No: 2577-0200	ICR Reference No: 201202-2577-004
Status: Historical Active	Previous ICR Reference No: 200810-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0200
Title: Loan Guarantees for Indian Housing
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/14/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/22/2012
Terms of Clearance: For further approval of this collection, HUD shall fully account for the program changes that resulted from changes in electronic capability.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved
Responses	61,810	0	0
Time Burden (Hours)	21,998	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected determines if the Department will guarantee loans and mortgage insurance made by private lenders to Native American borrowers on "Indian areas".

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 21793	04/11/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 57104	09/17/2012
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
Loan Guarantees for Indian Housing	HUD-Pending, DHHL Form, HUD-Pending, HUD-Pending, Form 3012, Sample DHHL Lease, HUD-50131, HUD-50132, HUD-50113, HUD-50115, HUD-50119, HUD-50128, REGZ-TIL, IRA/FNMA Universal forms, Fannie Mae Form 1005, Fannie Mae Form 1006, Fannie Mae Form 1003A, HUD-50116, HUD-50117, HUD-50120, HUD-50122, HUD-50123, HUD-50124, HUD-Pending, DHHL Form, HUD-50110, HUD-50111, HUD 50112, HUD-Pending, HUD-Pending, HUD-Pending, HUD-Pending, HUD-Pending, HUD-92900-A /VA Form 26-1802a, HUD-54111, HUD-1, HUD-GFE, Form 3200, HUD-Pending, Sample DHHL Consent to Mortgage, HUD-50129, HUD-50114, HUD-50121, HUD-50125, HUD-50126, HUD-50127	Statement of Assets and Liabilities ,   Request for Verfication of Employment ,   Request for Verification of Deposit ,   FNMA forms 1003, 1003A, 1004, 1004C, 1004D, 1004MC, 1005, 1006, IRS form 4506-T, Marshall & Swift, form 1007, Freddie Mac form 465 ,   Section 184 Warranty of Completion of Construction ,   Section 184 Addendum to Uniform Resendential Loan Application ,   Construction Loan Rider ,   Land Status and Jurisdiction Form ,   Lender Submission Contact Sheet ,   Residential Lease of Tribal Owned Land ,   Model Tribal Mortgage Lending Code ,   Post Endorsement Submission Checklist ,   Rider for Section 184 Individual Allotted Trust Land - No Lease ,   Rider For Section 184 Mortgage Fee Simple Property Only ,   Rider For Section 184 Mortgage (Non-Borrower Pledge of Leashold Interest) ,   Section 184 Indian Loan Guarantee Program Endorsement Submission ,   Section 184 Homebuyer Notice ,   Single Close 184 Applicant Acknowledgement ,   Underwriting Submission Checklist - Cash Out or No Cash Out Refinance ,   Underwriting - Firm Commitment-Submission Checklist Individual Borrowers-Purchase Transactions ,   Underwriting Submission Checklist - "Streamline" Refinances-with or without and Appraisal- Qualifying Credit or Non-Qualifying Credit ,   HUD ONAP: Section 184 Loan Guarantee Program-Case Number Request Form ,   Section 184 Combined MCAWs ,   Mortgage Credit Analysis Worksheet ,   Section 184 Delegated Underwriting Authority Firm Comitment Request ,   Federal Truth-In-Lending Disclosure Statement ,   Recommended Underwriting Submission Checklist Direct Guarantee Cash-out and No Cash-Out Refinances ,   Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refiance Transactions ,   Non Credit Qualifying Streamlin Refinance Without an Appraisal Refinance Maximum Mortgage Worksheet ,   Non Credit Qualifying Streamline Refinance with an Appraisal Refinance Maximum Mortgage Worksheet ,   DHHL Institutional Loan-HUD Processing (No DG) Firm Commitment Submission Checklist ,   Rider For Section 184A Mortgage (Leasehold) ,   Request for Section 184A Case Number ,   HUD/VA Addendum to Uniform Residential Loan Application ,   Request for Insurance Endorsement - Attachment D to Mortgage Lette ,   Settlement Statement (HUD-1) ,   Good Faith Estimate (GFE) ,   FNMA FHLMC Multistate Fixed Rate Note ,   Loan Guarantee Lease Rider ,   ADDENDUM TO HUD-1 SETTLEMENT STATEMENT ,   Request for Certification of Eligibility ,   Sample Home Inspection Notice to Borrowers ,   No Cash Out Refinance Maximum Mortgage Worksheet ,   FNMA FHLMC Hawaii Mortgage ,   Department of Hawaiian Home Lands ,   Consent to Mortgage

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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	61,810	0	0	3,710	55,100	3,000
Annual Time Burden (Hours)	21,998	0	0	1,193	20,305	500
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This request is a reinstatement, with change, of a previously approved collection for which approval has expired. The increase in the number of responses as well as the increase in burden hours is due to increasing loan volumes and overall growth of the Section 184 program and the inclusion of the Section 184A mortgage program in this collection. The number of Section 184 and Section 184A loans has increased every year, some years quite dramatically. In order to reflect this fact the number of projected respondents has been raised to 61,810 respondents per year. Additionally, the annual hours requested has been increased to 21998 hours. There is an option for an electronic version of this form now available. This form has reduced the math errors and carries some of the data to multiple locations in the form.

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Annual Cost to Federal Government: $0

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: 10/22/2012

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