Information Collection

Loan Guarantees for Indian Housing

IC 27857 under ICR 201401-2577-001 · OMB 2577-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Fannie Mae Form 10 Loan Guarantees for Indian Housing	Form
Fannie Mae Form 10 Statement of Assets and Liabilities 1003ai.pdf	Form
Fannie Mae Form 10 Request for Verfication of Employment 1005.pdf	Form
Fannie Mae Form 10 Request for Verification of Deposit 1006.pdf	Form
IRA/FNMA Universal FNMA forms 1003, 1003A, 1004, 1004C, 1004D, 1004MC, 1005 IRS and FNMA Universal Forms.PDF	Form and Instruction
HUD-50110 Section 184 Warranty of Completion of Construction HUD-50110 warranty completion of construction.docx	Form and Instruction
HUD-50111 Section 184 Addendum to Uniform Resendential Loan Applic HUD-50111 Addendum to URLA (2).pdf	Form and Instruction
HUD 50112 Construction Loan Rider HUD-50112 Construction Loan Rider.docx	Form and Instruction
HUD-50114 Land Status and Jurisdiction Form HUD-50114 LAND STATUS AND JURISDICTION FORM.docx	Form and Instruction
HUD-50115 Lender Submission Contact Sheet HUD-50115 Lender Submission Contact Sheet.docx	Form and Instruction
HUD-50116 Residential Lease of Tribal Owned Land HUD-50116 Residential Lease of Tribal Owned Land.docx	Form and Instruction
HUD-50117 Model Tribal Mortgage Lending Code HUD-50117 Model Tribal Mortgage Lending Code.docx	Form and Instruction
HUD-50119 Post Endorsement Submission Checklist HUD-50119 POST ENDORSEMENT SUBMISSION CHECKLIST.docx	Form and Instruction
HUD-50120 Rider for Section 184 Individual Allotted Trust Land - N HUD-50120 Rider-Allotted Land.docx	Form and Instruction
HUD-50121 Rider For Section 184 Mortgage Fee Simple Property Only HUD-50121 Rider-Fee Simple Property Only.docx	Form and Instruction
HUD-50122 Rider For Section 184 Mortgage (Non-Borrower Pledge of L HUD-50122 Rider-non borrower pledge of leasehold interest.docx	Form and Instruction
HUD-50123 Section 184 Indian Loan Guarantee Program Endorsement Su HUD-50123 SECTION 184 CASE BINDER FILE ORDER (2).docx	Form and Instruction
HUD-50124 Section 184 Homebuyer Notice HUD-50124-Section 184 Homebuyer Notice.docx	Form and Instruction
HUD-50125 Single Close 184 Applicant Acknowledgement HUD-50125 SINGLE CLOSE 184 APPLICANT ACKNOWLEDGEMENT.docx	Form
HUD-50126 Underwriting Submission Checklist - Cash Out or No Cash HUD-50126 UNDERWRITING SUBMISSION CHECKLINST Cash Out and No Cash Out Refinance.docx	Form
HUD-50127 Underwriting - Firm Commitment-Submission Checklist Indi HUD-50127 UNDERWRITING SUBMISSION CHECKLIST Purchase Individual Borrower.docx	Form
HUD-50128 Underwriting Submission Checklist - "Streamline" Refinan HUD-50128 UNDERWRITING SUBMISSION CHECKLIST Streamline Refinances.docx	Form
HUD-50131 HUD ONAP: Section 184 Loan Guarantee Program-Case Number HUD-50131 Proposed Case Number Request Form.doc	Form and Instruction
HUD-50132 Section 184 Combined MCAWs HUD-50132 Section 184 Combined MCAW.doc	Form
HUD-50129 Mortgage Credit Analysis Worksheet HUD-50129 Mortgage Credit Analysis Worksheet.xlsx	Form
HUD-50113 Section 184 Delegated Underwriting Authority Firm Comitm HUD-50113 Section 184 Delegated Underwriting Authority Firm Commitment Request v1_0 (2) (2).docx	Form and Instruction
REGZ-TIL Federal Truth-In-Lending Disclosure Statement Truth In Lending Sample regz1.pdf	Form and Instruction
HUD-Pending Recommended Underwriting Submission Checklist Direct Gua Sec. 184A streamline refinances checklist.docx	Form and Instruction
HUD-Pending Request for Loan Guarantee Endorsement Submission Checkl Sec. 184A request for loan guarantee checklist for refinances.docx	Form and Instruction
HUD-Pending Non Credit Qualifying Streamlin Refinance Without an App Sec. 184A non-credit qualifying streamline refinance without appraisal worksheet.docx	Form and Instruction
HUD-Pending Non Credit Qualifying Streamline Refinance with an Appra Sec. 184A Non-credit qualifying Streamline refinance with appraisal worksheet.docx	Form and Instruction
HUD-Pending DHHL Institutional Loan-HUD Processing (No DG) Firm Comm Sec. 184A DHHL institutional loan guarantee checklist - firm committment submission.docx	Form and Instruction
HUD-Pending Rider For Section 184A Mortgage (Leasehold) RIDER FOR SECTION 184A MORTGAGE (Leasehold).doc	Form and Instruction
HUD-Pending Request for Section 184A Case Number reqst 184a case no REV 03 28 2012.docx	Form and Instruction
HUD-92900-A /VA Fo HUD/VA Addendum to Uniform Residential Loan Application HUD-92900A Addendum to URLA.pdf	Form and Instruction
HUD-54111 Request for Insurance Endorsement - Attachment D to Mort HUD-54111_NON-ACTIVE HUD FORM.pdf	Form and Instruction
HUD-1 Settlement Statement (HUD-1) HUD-1 Settlement Statement.pdf	Form and Instruction
HUD-GFE Good Faith Estimate (GFE) Good Faith Estimate.pdf	Form and Instruction
Form 3200 FNMA FHLMC Multistate Fixed Rate Note FNMA_FHLMC 3200-Multistate FR Note.pdf	Form and Instruction
DHHL Form Loan Guarantee Lease Rider 184A DHHL Guarantee Lease Rider.pdf	Form and Instruction
HUD-Pending ADDENDUM TO HUD-1 SETTLEMENT STATEMENT ADDENDUM TO HUD-1 Settlement Statement (not a Form).docx	Form and Instruction
DHHL Form Request for Certification of Eligibility 184A DHHL Cert of Eligibility Form.pdf	Form and Instruction
HUD-Pending Sample Home Inspection Notice to Borrowers Sample Home Inspection Notice to Borrowers.docx	Form and Instruction
HUD-Pending No Cash Out Refinance Maximum Mortgage Worksheet Sec. 184A no-cash refinance worksheet.docx	Form and Instruction
Form 3012 FNMA FHLMC Hawaii Mortgage FNMA_FHLMC 3012-Hawaii Mortgage.pdf	Form and Instruction
Sample DHHL Lease Department of Hawaiian Home Lands Sample DHHL Lease.pdf	Form and Instruction
Sample DHHL Consen Consent to Mortgage Sample DHHL Consent to Mortgage.pdf	Form
HUD-50127 Underwriting-Firm Commitment-Submission Checklist (Revis HUD 50127 Firm Commitment Submission Checklist (Revised Version).pdf	Form and Instruction
HUD-50132 (Revised Combined MCAW HUD 50132 Combined MCAW (Revised Version).pdf	Form and Instruction
HUD-NEW Checklist for Proposed Transactions That are Less than 1 HUD-NEW Checklist For Proposed Transactions Less than One Year Old.pdf	Form
HUD-NEW Rider for Section 184 Mortgage - Leasehold HUD-NEW Rider for Section 184 Mortgage Leasehold Owner Occupancy Requirement.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Loan Guarantees for Indian Housing

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 1005

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Fannie Mae Form 1003A	Statement of Assets and Liabilities	1003ai.pdf	No		Fillable Printable
Form	Fannie Mae Form 1005	Request for Verfication of Employment	1005.pdf	No		Fillable Printable
Form	Fannie Mae Form 1006	Request for Verification of Deposit	1006.pdf	No		Fillable Printable
Form and Instruction	IRA/FNMA Universal forms	FNMA forms 1003, 1003A, 1004, 1004C, 1004D, 1004MC, 1005, 1006, IRS form 4506-T, Marshall & Swift, form 1007, Freddie Mac form 465	IRS and FNMA Universal Forms.PDF	Yes	Yes	Fillable Printable
Form and Instruction	HUD-50110	Section 184 Warranty of Completion of Construction	HUD-50110 warranty completion of construction.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50111	Section 184 Addendum to Uniform Resendential Loan Application	HUD-50111 Addendum to URLA (2).pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD 50112	Construction Loan Rider	HUD-50112 Construction Loan Rider.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50114	Land Status and Jurisdiction Form	HUD-50114 LAND STATUS AND JURISDICTION FORM.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50115	Lender Submission Contact Sheet	HUD-50115 Lender Submission Contact Sheet.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50116	Residential Lease of Tribal Owned Land	HUD-50116 Residential Lease of Tribal Owned Land.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50117	Model Tribal Mortgage Lending Code	HUD-50117 Model Tribal Mortgage Lending Code.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50119	Post Endorsement Submission Checklist	HUD-50119 POST ENDORSEMENT SUBMISSION CHECKLIST.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50120	Rider for Section 184 Individual Allotted Trust Land - No Lease	HUD-50120 Rider-Allotted Land.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50121	Rider For Section 184 Mortgage Fee Simple Property Only	HUD-50121 Rider-Fee Simple Property Only.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50122	Rider For Section 184 Mortgage (Non-Borrower Pledge of Leashold Interest)	HUD-50122 Rider-non borrower pledge of leasehold interest.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50123	Section 184 Indian Loan Guarantee Program Endorsement Submission	HUD-50123 SECTION 184 CASE BINDER FILE ORDER (2).docx	Yes	Yes	Paper Only
Form and Instruction	HUD-50124	Section 184 Homebuyer Notice	HUD-50124-Section 184 Homebuyer Notice.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD-50125	Single Close 184 Applicant Acknowledgement	HUD-50125 SINGLE CLOSE 184 APPLICANT ACKNOWLEDGEMENT.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD-50126	Underwriting Submission Checklist - Cash Out or No Cash Out Refinance	HUD-50126 UNDERWRITING SUBMISSION CHECKLINST Cash Out and No Cash Out Refinance.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD-50127	Underwriting - Firm Commitment-Submission Checklist Individual Borrowers-Purchase Transactions	HUD-50127 UNDERWRITING SUBMISSION CHECKLIST Purchase Individual Borrower.docx	Yes	Yes	Fillable Fileable Signable
Form	HUD-50128	Underwriting Submission Checklist - "Streamline" Refinances-with or without and Appraisal- Qualifying Credit or Non-Qualifying Credit	HUD-50128 UNDERWRITING SUBMISSION CHECKLIST Streamline Refinances.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50131	HUD ONAP: Section 184 Loan Guarantee Program-Case Number Request Form	HUD-50131 Proposed Case Number Request Form.doc	Yes	Yes	Fillable Fileable Signable
Form	HUD-50132	Section 184 Combined MCAWs	HUD-50132 Section 184 Combined MCAW.doc	Yes	Yes	Printable Only
Form	HUD-50129	Mortgage Credit Analysis Worksheet	HUD-50129 Mortgage Credit Analysis Worksheet.xlsx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-50113	Section 184 Delegated Underwriting Authority Firm Comitment Request	HUD-50113 Section 184 Delegated Underwriting Authority Firm Commitment Request v1_0 (2) (2).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	REGZ-TIL	Federal Truth-In-Lending Disclosure Statement	Truth In Lending Sample regz1.pdf	Yes	Yes	Printable Only
Form and Instruction	HUD-Pending	Recommended Underwriting Submission Checklist Direct Guarantee Cash-out and No Cash-Out Refinances	Sec. 184A streamline refinances checklist.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-Pending	Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refiance Transactions	Sec. 184A request for loan guarantee checklist for refinances.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-Pending	Non Credit Qualifying Streamlin Refinance Without an Appraisal Refinance Maximum Mortgage Worksheet	Sec. 184A non-credit qualifying streamline refinance without appraisal worksheet.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-Pending	Non Credit Qualifying Streamline Refinance with an Appraisal Refinance Maximum Mortgage Worksheet	Sec. 184A Non-credit qualifying Streamline refinance with appraisal worksheet.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-Pending	DHHL Institutional Loan-HUD Processing (No DG) Firm Commitment Submission Checklist	Sec. 184A DHHL institutional loan guarantee checklist - firm committment submission.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-Pending	Rider For Section 184A Mortgage (Leasehold)	RIDER FOR SECTION 184A MORTGAGE (Leasehold).doc	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-Pending	Request for Section 184A Case Number	reqst 184a case no REV 03 28 2012.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-92900-A /VA Form 26-1802a	HUD/VA Addendum to Uniform Residential Loan Application	HUD-92900A Addendum to URLA.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-54111	Request for Insurance Endorsement - Attachment D to Mortgage Lette	HUD-54111_NON-ACTIVE HUD FORM.pdf	No		Paper Only
Form and Instruction	HUD-1	Settlement Statement (HUD-1)	HUD-1 Settlement Statement.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-GFE	Good Faith Estimate (GFE)	Good Faith Estimate.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 3200	FNMA FHLMC Multistate Fixed Rate Note	FNMA_FHLMC 3200-Multistate FR Note.pdf	No		Fillable Fileable Signable
Form and Instruction	DHHL Form	Loan Guarantee Lease Rider	184A DHHL Guarantee Lease Rider.pdf	No		Fillable Fileable Signable
Form and Instruction	HUD-Pending	ADDENDUM TO HUD-1 SETTLEMENT STATEMENT	ADDENDUM TO HUD-1 Settlement Statement (not a Form).docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	DHHL Form	Request for Certification of Eligibility	184A DHHL Cert of Eligibility Form.pdf	No		Fillable Fileable Signable
Form and Instruction	HUD-Pending	Sample Home Inspection Notice to Borrowers	Sample Home Inspection Notice to Borrowers.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-Pending	No Cash Out Refinance Maximum Mortgage Worksheet	Sec. 184A no-cash refinance worksheet.docx	Yes	Yes	Fillable Printable
Form and Instruction	Form 3012	FNMA FHLMC Hawaii Mortgage	FNMA_FHLMC 3012-Hawaii Mortgage.pdf	No		Fillable Fileable Signable
Form and Instruction	Sample DHHL Lease	Department of Hawaiian Home Lands	Sample DHHL Lease.pdf	No		Fillable Fileable Signable
Form	Sample DHHL Consent to Mortgage	Consent to Mortgage	Sample DHHL Consent to Mortgage.pdf	No		Fillable Fileable Signable
Form and Instruction	HUD-50127	Underwriting-Firm Commitment-Submission Checklist (Revised Version)	HUD 50127 Firm Commitment Submission Checklist (Revised Version).pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-50132 (Revised Version)	Combined MCAW	HUD 50132 Combined MCAW (Revised Version).pdf	Yes	Yes	Fillable Fileable Signable
Form	HUD-NEW	Checklist for Proposed Transactions That are Less than 1 Year Old	HUD-NEW Checklist For Proposed Transactions Less than One Year Old.pdf	Yes	Yes	Paper Only
Form and Instruction	HUD-NEW	Rider for Section 184 Mortgage - Leasehold	HUD-NEW Rider for Section 184 Mortgage Leasehold Owner Occupancy Requirement.pdf	Yes	Yes	Fillable Fileable Signable

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: 6,750

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,750	-55,060	61,810
Annual IC Time Burden (Hours)	2,150	-19,848	21,998
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.