Information Collection

Application for Membership

IC 206569 under ICR 202003-2502-002 · OMB 2502-0606.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0606 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-90005-HCFAC Application for Membership	Form
HUD-90005-HCFAC Application for Membership Housing Counseling Federal Ad HUD-90005, REV 12-9-19 per OCG guidance.pdf	Form
OGE-450 CONFIDENTIAL FINANCIAL DISCLOSURE REPORT OGE Form 450 2019 v2 (from PO).pdf	Form and Instruction

IC Title:

Application for Membership

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-90005-HCFAC	Application for Membership Housing Counseling Federal Advisory Commitee	HUD-90005, REV 12-9-19 per OCG guidance.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	OGE-450	CONFIDENTIAL FINANCIAL DISCLOSURE REPORT	OGE Form 450 2019 v2 (from PO).pdf		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: 162

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	162	0	162
Annual IC Time Burden (Hours)	261	87	174
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.