Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Fannie Mae 1073 Fannie Mae 1073	Form and Instruction	Modified	Available
Form HUD-1a Settlement Statement Optional for Transactions Without Sellers	Form	Modified	Available
Form HUD-1 Settlement Statement	Form	Modified	Repair queued
Form HUD-92800-5b Conditional Commitment Direct Endorsement Statement of Appraised Value	Form	Modified	Available
Form HUD-92561 Borrows Contract with Respect to Hotel and Transient Use of Property	Form	Modified	Repair queued
Form HUD-92051 Compliance Inspection Report	Form	Modified	Available
Form fnma-1025 Small Residential Income Property Appraisal Report	Form	Modified	Available
Form fnma-1004c Manufactured Home Appraisal Report	Form	Modified	Repair queued
Form fnma-1004 Uniform Residential Appraisal Report	Form	Modified	Available
Form fnma-1003 Uniform Residential Loan Application	Form	Modified	Available
Form HUD-92900-A HUD-VA Addendum to Uniform Residential Loan Application	Form	Modified	Available
Form FANNIE-MAE-1009 Residential Loan Application for Reverse Mortgages	Form	Modified	Available
Form HUD-92901 HECM Anti Churning Disclosure	Form	Modified	Repair queued
Form HUD-92902 Certificate of HECM Counseling	Form	Modified	Repair queued
Form HUD-92902 Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Repair queued
2502-0524 30 Day FR.pdf	Supplementary Document	Uploaded 2021-01-25	Repair queued
12 USC 1715Z.20.docx	Supplementary Document	Uploaded 2021-01-12	Repair queued
Supporting Statement -A.docx	Supporting Statement A	Uploaded 2021-01-12	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form and Instruction	Modified	Fannie Mae 1073
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Settlement Statement Optional for Transactions Without Sellers
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Settlement Statement
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Conditional Commitment Direct Endorsement Statement of Appraised Value
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Borrows Contract with Respect to Hotel and Transient Use of Property
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Compliance Inspection Report
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Small Residential Income Property Appraisal Report
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Manufactured Home Appraisal Report
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Uniform Residential Appraisal Report
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Uniform Residential Loan Application
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	HUD-VA Addendum to Uniform Residential Loan Application
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Residential Loan Application for Reverse Mortgages
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	HECM Anti Churning Disclosure
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified	Certificate of HECM Counseling
27279	Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	Form	Modified

ICR Details

OMB Control No: 2502-0524	ICR Reference No: 202011-2502-005
Status: Historical Active	Previous ICR Reference No: 201704-2502-004
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/15/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/26/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2024	36 Months From Approved	04/30/2021
Responses	59,375	0	80,000
Time Burden (Hours)	116,399	0	252,800
Cost Burden (Dollars)	0	0	0

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Abstract: The HECM reverse mortgage application and related documents are used to determine the eligibility of the borrower and proposed mortgage transaction for FHA insurance endorsement. This submission is a consolidation of additional consumer notification requirements formerly approved under 2502-0534 and 2502-0546.

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Authorizing Statute(s): US Code: 12 USC 1715z-20 Name of Law: National Housing Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 58068	09/17/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 6915	01/25/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Home Equity Conversion Mortgage (HECM) Insurance Application for Reverse Mortgages and Related Documents	HUD-92800-5b, HUD-92051, HUD-92900-A, FANNIE-MAE-1009, HUD-92901, HUD-92902, Fannie Mae 1073, fnma-1004, fnma-1025, HUD-92561, HUD-1, HUD-1a, fnma-1003, fnma-1004c	Certificate of HECM Counseling ,   HECM Anti Churning Disclosure ,   Residential Loan Application for Reverse Mortgages ,   HUD-VA Addendum to Uniform Residential Loan Application ,   Uniform Residential Loan Application ,   Uniform Residential Appraisal Report ,   Manufactured Home Appraisal Report ,   Small Residential Income Property Appraisal Report ,   Compliance Inspection Report ,   Borrows Contract with Respect to Hotel and Transient Use of Property ,   Conditional Commitment Direct Endorsement Statement of Appraised Value ,   Settlement Statement ,   Settlement Statement Optional for Transactions Without Sellers ,   Fannie Mae 1073

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	59,375	80,000	0	-20,625	0	0
Annual Time Burden (Hours)	116,399	252,800	0	-136,401	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a revision of a currently approved collection. Due to conditions in the mortgage banking industry, the volume of HECM originations has declined annually from 55,291 in fiscal year 2017 to 31,270 in fiscal year 2019. With this decrease in activity, the information collection results in a decrease in the estimated annual responses and annual burden hours. Minor changes are made to the model forms.

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Annual Cost to Federal Government: $60,564

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/26/2021

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