Information Collection

Application for HECM Counselor Roster

IC 46649 under ICR 201503-2502-001 · OMB 2502-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 92904 Application for HECM Counselor Roster	Form
HUD 92904 Application for HECM Counseling roster HUD-92904.doc	Form

IC Title:

Application for HECM Counselor Roster

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 Subpart E

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD 92904	Application for HECM Counseling roster	HUD-92904.doc		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: 205

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	605	200	405
Annual IC Time Burden (Hours)	851	200	651
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.