Information Collection

HECM Counseling Client Survey

IC 188036 under ICR 201510-2502-008 · OMB 2502-0585.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0585 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HECM counseling session evaluation.doc	Other-Evaluation Form
Sample Client Survey Letter.docx	Other-Sample Letter

IC Title:

HECM Counseling Client Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 214

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
Other-Evaluation Form			HECM counseling session evaluation.doc		No		Paper Only
Other-Sample Letter			Sample Client Survey Letter.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	-50	50	300
Annual IC Time Burden (Hours)	50	0	0	50
Annual IC Cost Burden (Dollars)	0	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.