Disaster / National Emergency Survey

Disaster/National Emergency
U.S. Department of Housing and Urban Development
Office of Housing Counseling

OMB Control Number: 2502-0615
Expiration Date: 05-31-2021
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this collection of information is estimated to average 1 hour per response,
including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. The
information collected will be used assess the operational status of housing counseling agencies after
a disaster to determine needed assistance. This collection of information is voluntary. The agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless that collection displays a valid OMB control number. Responses are protected from disclosure
pursuant to the Privacy Act of 1974 . HUD will prosecute false claims and statements. Conviction may
result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012;31 U.S.C. 3729, 3802).
1. Date of this survey

Date / Time

Date

MM/DD/YYYY

2. Name of Emergency
Covid-19
Other (please specify)

* 3. Agency Name

* 4. Agency HCS ID Number

* 5. Agency Contact

* 6. What state do you reside in?

7. Is your agency operational (offering housing counseling services):
Yes

No

8. Is your “Bricks & Mortar” office?
Open
Closed to public
Closed to staff and public

9. Are your agency housing counseling staff teleworking?
Yes
No

10. Describe any issues converting housing counseling staff to telework.
Access to client files?
Maintaining privacy?
IT/telephone issues
Other (please specify)

11. Have you had to furlough housing counseling staff due to this National Emergency?
Yes
No

12. If so, what percentage of staff is providing housing counseling services?
100%

25%

75%

0%

50%

13. How have you changed the delivery of your services? Please describe.
Face to face to telephone
Face to face to internet
Both

14. Have you changed the housing counseling services you are offering?
Yes - Deleted
Yes - Added
No

15. List Services Deleted?
Financial Management/Budget Counseling
Home Improvement and Rehabilitation Counseling
Mortgage Delinquency and Default Resolution Counseling
Pre-purchase Counseling
Rental Housing Counseling
Reverse Mortgage Counseling
Services for Homeless Counseling
Fair Housing Pre-purchase Education Workshops
Financial, Budgeting, and Credit Workshops
Non-delinquency Post Purchase Workshops
Predatory Lending Education Workshops
Pre-purchase Homebuyer Education Workshops
Rental Housing Workshops
Resolving/Preventing Mortgage Delinquency Workshops
N/A
Other (please specify)

16. List Services Added?
Financial Management/Budget Counseling
Home Improvement and Rehabilitation Counseling
Mortgage Delinquency and Default Resolution Counseling
Pre-purchase Counseling
Rental Housing Counseling
Reverse Mortgage Counseling
Services for Homeless Counseling
Fair Housing Pre-purchase Education Workshops
Financial, Budgeting, and Credit Workshops
Non-delinquency Post Purchase Workshops
Predatory Lending Education Workshops
Pre-purchase Homebuyer Education Workshops
Rental Housing Workshops
Resolving/Preventing Mortgage Delinquency Workshops
N/A
Other (please specify)

17. Which counseling services are most requested? Please put in order of most requested to least requested
with 1 being most requested.

Financial Management/Budget Counseling
N/A

Home Improvement and Rehabilitation Counseling
N/A

Mortgage Delinquency and Default Resolution Counseling
N/A

Pre-purchase Counseling
N/A

Rental Housing Counseling
N/A

Reverse Mortgage Counseling
N/A

Services for Homeless Counseling
N/A

18. Have you seen a change in the number and type of clients requesting housing counseling services since
the start of the National Emergency? Please describe.
Yes
No
Please describe

19. If you are an affiliate or sub grantee of an Intermediary or State Housing Finance Agency, have you been
in touch with your parent agency for assistance or guidance?
Yes
No

20. List any questions or concerns you have regarding providing housing counseling services during and after
the National Emergency?

21. If your state has current restrictions in place for business operation, do you plan to resume
normal business operations when these restrictions are lifted?
Yes
No

22. Has there been an increase in scam activity in your area?

23. Estimate the expenses incurred as a result of the disaster or national emergency.
Less than 10,000
10,000-25,000
25,000-50,000
50,000-100,000
100,000-300,000
300-500,000

24. How long can you maintain operations before experiencing financial stress?

25. Comments