OMB Control No:  2577-0200 
ICR Reference No: 
201401-2577-001 
 
Status:  Historical Inactive 
Previous ICR Reference No:  201202-2577-004  
 
Agency/Subagency:  HUD/PIH 
Agency Tracking No:  2577-0200 
 
Title:  Loan Guarantees for Indian
Housing 
 
Type of Information Collection: 
Revision of a currently approved collection 
Common Form ICR:   No 
 
Type of Review Request:  Regular 
 
 
OIRA Conclusion Action:  Improperly
submitted and continue 
Conclusion Date:  05/30/2014 
 
Retrieve
Notice of Action (NOA)  
Date Received in OIRA: 
03/25/2014 
 
Terms of Clearance:  HUD shall
re-submit this package with appropriate responses to Q12 and Q15 in
the supporting statement. 
 
  
Inventory as of this Action 
Requested 
Previously Approved 
 
Expiration Date  
02/29/2016 
36 Months From Approved 
02/29/2016 
 
Responses  
61,810 
0 
61,810 
 
Time Burden (Hours)  
21,998 
0 
21,998 
 
Cost Burden (Dollars)  
0 
0 
0 
 
 
 
Abstract:  Information collected determines if
the Department will guarantee loans and mortgage insurance made by
private lenders to Native American borrowers on "Indian
areas". 
 
 
 
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 
 
 
 
Associated Rulemaking
Information  
 
RIN:  
Stage of Rulemaking:  
Federal Register Citation:  
Date:  
 
 
Not associated with rulemaking 
 
 
 
 
 
Federal Register Notices &
Comments  
 
60-day Notice:  
Federal Register Citation:  
Citation Date:  
 
  
79 FR
3218  
01/17/2014 
 
30-day Notice:  
Federal Register Citation:  
Citation Date:  
 
 
79 FR
16362  
03/25/2014 
 
Did the Agency receive public comments on
this ICR?  No 
 
 
 
Number of Information Collection (IC) in this
ICR:  1  
 
IC Title 
Form No. 
Form Name 
 
Loan Guarantees for
Indian Housing  
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, 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,
HUD-Pending, 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-50110, HUD-50111, HUD 50112, HUD-50114, HUD-50121,
HUD-50125, HUD-50126, HUD-50127, HUD-50127, HUD-50132 (Revised
Version), HUD-NEW, HUD-NEW 
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  ,
  Underwriting-Firm
Commitment-Submission Checklist (Revised Version)  ,  
Combined MCAW  ,
  Checklist for
Proposed Transactions That are Less than 1 Year Old  ,  
Rider for Section 184
Mortgage - Leasehold  
 
 
 
 
 
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:  Miscellaneous
Actions 
 
Short Statement:  This request is a revision of a
currently approved collection. The revision is needed to correct
errors detected on the currently approve collection. 
 
 
 
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 
 
Agency Contact:  Thomas Wright 2027080614 ext.
4978