Information Collection

Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents

IC 27279 under ICR 201309-2502-005 · OMB 2502-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-92902 Certificate of HECM Counseling Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-92901 HECM Anti Churning Disclosure Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form FANNIE-MAE-1009 Residential Loan Application for Reverse Mortgages Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-92900-A HUD-VA Addendum to Uniform Residential Loan Application Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form fnma-1003 Uniform Residential Loan Application Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form fnma-1004 Uniform Residential Appraisal Report Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form fnma-1004c Manufactured Home Appraisal Report Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form fnma-1025 Small Residential Income Property Appraisal Report Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-92051 Compliance Inspection Report Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-92561 Borrows Contract with Respect to Hotel and Transient Use of Property Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-92800-5b Conditional Commitment Direct Endorsement Statement of Appraised Value Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-1 Settlement Statement Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form HUD-1a Settlement Statement Optional for Transactions Without Sellers Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form
Form Fannie Mae 1073 Fannie Mae 1073 Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form and Instruction
HUD-92902 Certificate of HECM Counseling HUD-92902.doc	Form
HUD-92901 HECM Anti Churning Disclosure 92901 Anti Churning.pdf	Form
FANNIE-MAE-1009 Residential Loan Application for Reverse Mortgages fnma1009.pdf	Form
HUD-92900-A HUD-VA Addendum to Uniform Residential Loan Application 92900-a.pdf	Form
fnma-1003 Uniform Residential Loan Application 1003.pdf	Form
fnma-1004 Uniform Residential Appraisal Report 1004.pdf	Form
fnma-1004c Manufactured Home Appraisal Report 1004c.pdf	Form
fnma-1025 Small Residential Income Property Appraisal Report 1025.pdf	Form
HUD-92051 Compliance Inspection Report 92051.pdf	Form
HUD-92561 Borrows Contract with Respect to Hotel and Transient Use 92561.pdf	Form
HUD-92800-5b Conditional Commitment Direct Endorsement Statement of A 92800-5b.pdf	Form
HUD-1 Settlement Statement HUD-1.pdf	Form
HUD-1a Settlement Statement Optional for Transactions Without S HUD-1a.pdf	Form
Fannie Mae 1073 Fannie Mae 1073 1073.pdf	Form and Instruction
AUTHORIZATION TO ESTABLISH A PAD ACCOUNT.doc Authorization to Establish PAD Account	IC Document
CONDOMINIUM RIDER.doc Condominium Rider	IC Document
HOME EQUITY CONVERSION LOAN AGREEMENT.doc Home Equity Conversion Loan Agreement	IC Document
MODEL ADJUSTABLE RATE NOTE FORM.doc Model Adjustable Rate Note Form	IC Document
NOTICE TO THE BORROWER.doc Notice to the Borrower	IC Document
Periodic Disclosure of Interest Rate Change.doc Periodic Disclosure of Interest Rate Change	IC Document
PLANNED UNIT DEVELOPMENT RIDER.doc Planned Unit Development Rider	IC Document
MODEL FIXED RATE SECOND NOTE FORM.doc Model Fixed Rate Second Note Form	IC Document
REPAIR RIDER.doc Repair Rider	IC Document
SHARED APPRECIATION RIDER.doc Shared Appreciation Rider	IC Document
HOME EQUITY CONVERSION MORTGAGE PAYMENT PLAN.doc Home Equity Conversion Mortgage Payment Play	IC Document
MODEL SECOND MORTGAGE FORM.doc Model Second Mortgage Form	IC Document
MODEL ADJUSTABLE RATE SECOND NOTE FORM.doc Model Adjustable Rate Second Note Form	IC Document
MODEL FIXED RATE NOTE FORM.doc Model Fixed Rate Note Form	IC Document
MODEL MORTGAGE FORM.doc Model Mortgage Form	IC Document
MODEL FIXED RATE SECOND NOTE FORM.doc Model Fixed Rate Second Note Form	IC Document
SHARED APPRECIATION ALLONGE.doc Shared Appreciation Allonge	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents

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 24 CFR 200.95

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-92902	Yes	Yes	Fillable Fileable
Form	HUD-92901	Yes	No	Fillable Printable
Form	FANNIE-MAE-1009	Yes	No	Fillable Printable
Form	HUD-92900-A	Yes	No	Fillable Printable
Form	fnma-1003	Yes	No	Fillable Printable
Form	fnma-1004	Yes	No	Fillable Printable
Form	fnma-1004c	Yes	No	Fillable Printable
Form	fnma-1025	Yes	No	Fillable Printable
Form	HUD-92051	Yes	No	Fillable Printable
Form	HUD-92561	Yes	No	Fillable Printable
Form	HUD-92800-5b	Yes	No	Fillable Printable
Form	HUD-1	Yes	No	Fillable Printable
Form	HUD-1a	Yes	No	Fillable Printable
Form and Instruction	Fannie Mae 1073	No		Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	-119,000	129,000
Annual IC Time Burden (Hours)	316,000	-134,235	450,235
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorization to Establish PAD Account		09/26/2007
Condominium Rider		09/26/2007
Home Equity Conversion Loan Agreement		09/26/2007
Model Adjustable Rate Note Form		09/26/2007
Notice to the Borrower		09/26/2007
Periodic Disclosure of Interest Rate Change		09/26/2007
Planned Unit Development Rider		09/26/2007
Model Fixed Rate Second Note Form		09/26/2007
Repair Rider		09/26/2007
Shared Appreciation Rider		09/26/2007
Home Equity Conversion Mortgage Payment Play		09/26/2007
Model Second Mortgage Form		09/26/2007
Model Adjustable Rate Second Note Form		09/26/2007
Model Fixed Rate Note Form		09/26/2007
Model Mortgage Form		09/26/2007
Model Fixed Rate Second Note Form		09/26/2007
Shared Appreciation Allonge		09/26/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].