Debt Resolution Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0483 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-56141 Debt Resolution Program Form and Instruction
HUD-56141 Debt Resolution Program Settlement Offer HUD-56141 Settlement Offer Form (expires 07-31-2019).pdf Form and Instruction
HUD-56142 Debt Resolution Program Financial Statement HUD-56142 Financial Statement (expires 07-31-2019) UPDATED.pdf Form and Instruction
HUD-56146 Debt Resolution Program Repayment Agreement HUD-56146 Repayment Agreement (expires 07-30-2019).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Debt Resolution 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: 31 CFR 901.8

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-56141	Debt Resolution Program Settlement Offer	HUD-56141 Settlement Offer Form (expires 07-31-2019).pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-56142	Debt Resolution Program Financial Statement	HUD-56142 Financial Statement (expires 07-31-2019) UPDATED.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-56146	Debt Resolution Program Repayment Agreement	HUD-56146 Repayment Agreement (expires 07-30-2019).pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 735	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,428	377	2,051
Annual IC Time Burden (Hours)	752	113	639
Annual IC Cost Burden (Dollars)	0	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.