Debt Resolution Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-92090 HUD PAD Authorization	Form and Instruction	Modified	Available
Form HUD-56146 Debt Resolution Program Repayment Agreement	Form and Instruction	Modified	Available
Form HUD-56142 Debt Resolution Program Financial Statement	Form and Instruction	Modified	Repair queued
Form HUD-56141 Debt Resolution Program Settlement Offer	Form and Instruction	Modified	Available
Sec3720_collections.doc	Supplementary Document	Uploaded 2013-04-29	Available
NHA 2c.doc	Supplementary Document	Uploaded 2013-04-29	Available
31cfr901_8.pdf	Supplementary Document	Uploaded 2013-04-29	Available
31cfr901_2.pdf	Supplementary Document	Uploaded 2013-04-29	Available
Supporting_Statement_A 2502-0483.docx	Supporting Statement A	Uploaded 2013-04-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45625	Audited Financial Statements		Unchanged
27223	Debt Resolution Program	Form and Instruction	Modified	HUD PAD Authorization
27223	Debt Resolution Program	Form and Instruction	Modified	Debt Resolution Program Repayment Agreement
27223	Debt Resolution Program	Form and Instruction	Modified	Debt Resolution Program Financial Statement
27223	Debt Resolution Program	Form and Instruction	Modified	Debt Resolution Program Settlement Offer

ICR Details

OMB Control No: 2502-0483	ICR Reference No: 201304-2502-012
Status: Historical Active	Previous ICR Reference No: 200912-2502-003
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Debt Resolution Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/29/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/29/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2016	36 Months From Approved	04/30/2013
Responses	2,101	0	2,790
Time Burden (Hours)	641	0	854
Cost Burden (Dollars)	0	0	0

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Abstract: HUD is required to collect debt owed to the agency. As part of the collection process, demand for repayment is made on the debtor(s). In response, debtors opt to ignore the debt, pay the debt or dispute the debt. Disputes and offers to repay the debt result in information collections. Borrowers who wish to pay less than the full amount due must submit a Personal Financial Statement and Settlement Offer. HUD uses the information to analyze debtors’ financial positions and then approve settlements, repayment agreements, and pre-authorized electronic payments to HUD. Borrowers who wish to dispute must provide information to support their position.

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Authorizing Statute(s): None

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 50151	08/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 4426	01/22/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Audited Financial Statements
Debt Resolution Program	HUD-56141, HUD-56142, HUD-56146, HUD-92090	Debt Resolution Program Settlement Offer ,   Debt Resolution Program Financial Statement ,   Debt Resolution Program Repayment Agreement ,   HUD PAD Authorization

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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	2,101	2,790	0	-689	0	0
Annual Time Burden (Hours)	641	854	0	-213	0	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: There is a burden decrease due to the discontinuation of form HUD-92090.

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Annual Cost to Federal Government: $13,685

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: 04/29/2013

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