Emergency Homeownership Loan Program

Emergency Homeowners' Loan Program Required Data Elements Collection

Documents and Forms

Document Name Document Type
Screenshots.zipx Other-Screenshots
96021a-EHLP.docx Other-Notice of Termination Letter
96021b-EHLP.docx Other-Notice of Termination Letter
96024-EHLP.pdf Other-Pre-Screening Worksheet
Servicer Common Data File- Data Elements.docx Other-Sample Electronic File Listing
96020-EHLP Commitment Letter 96020-EHLP.docx Form and Instruction
96022-EHLP Termination Appeal Form 96022-EHLP.docx Form and Instruction
96023a-EHLP Applicant Certification Statement 96023a-EHLP.docx Form and Instruction
96023b-EHLP Co-Applicant Certification Statment 96023b-EHLP.docx Form and Instruction
96025a-EHLP Unemployment Affidavit - Self Employed 96025a-EHLP.pdf Form
96025b-EHLP Unempolyment Affidavit - Employer No Longer In Business 96025b-EHLP.pdf Form
96026-EHLP Third Party Authorization Form 96026-EHLP.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Emergency Homeownership Loan Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.8(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice of Termination Letter			96021a-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Screenshots			Screenshots.zipx	Yes	Yes	Fillable Fileable
Form and Instruction	96020-EHLP	Commitment Letter	96020-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Notice of Termination Letter			96021b-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96022-EHLP	Termination Appeal Form	96022-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96023a-EHLP	Applicant Certification Statement	96023a-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96023b-EHLP	Co-Applicant Certification Statment	96023b-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Pre-Screening Worksheet			96024-EHLP.pdf	Yes	Yes	Fillable Fileable
Form	96025a-EHLP	Unemployment Affidavit - Self Employed	96025a-EHLP.pdf	Yes	Yes	Fillable Fileable
Form	96025b-EHLP	Unempolyment Affidavit - Employer No Longer In Business	96025b-EHLP.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	96026-EHLP	Third Party Authorization Form	96026-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Sample Electronic File Listing			Servicer Common Data File- Data Elements.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36,264	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	244,520	244,520
Annual IC Time Burden (Hours)	169,048	169,048
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.