Ginnie Mae Mortgage-Backed Securities Programs

OMB: 2503-0033

IC ID: 27389

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2503-0033 can be found here:

2023-09-20 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form App. VIII-03 Ginnie Mae Mortgage-Backed Securities Programs Form and Instruction
App. VIII-03 Assignment Agreement App. VIII-03 .docx Form and Instruction
App. VIII-03 Assignment Agreement App. VIII-03 .docx Form and Instruction
Appendex III-29 IN SYSTEMS ACCESS FORMS Appendex III-29.doc Form and Instruction
Appendex III-29 IN SYSTEMS ACCESS FORMS Appendex III-29.doc Form and Instruction
Appendex III-06 HU Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Final Revised Appendix III-06 HUD 11705.docx Form and Instruction
Appendex III-06 HU Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Final Revised Appendix III-06 HUD 11705.docx Form and Instruction
Appendex III-07 HU Schedule of Pooled Mortgages Appendex III-07 HUD 11706.docx Form and Instruction
Appendex III-07 HU Schedule of Pooled Mortgages Appendex III-07 HUD 11706.docx Form and Instruction
Appendex VI-05 ISSUER’S MONTHLY SUMMARY REPORT Appendex VI-05.docx Form and Instruction
Appendex VI-05 ISSUER’S MONTHLY SUMMARY REPORT Appendex VI-05.docx Form and Instruction
Appendix I-01 Form Application for Approval Ginnie Mae Mortgage-Backed Secu Appendix I-01 Form 11701.docx Form and Instruction
Appendix I-01 Form Application for Approval Ginnie Mae Mortgage-Backed Secu Appendix I-01 Form 11701.docx Form and Instruction
Appendix I-02Form1 Resolution of Board of Directors and Certificate of Auth Appendix I-02Form11702.docx Form and Instruction
Appendix I-02Form1 Resolution of Board of Directors and Certificate of Auth Appendix I-02Form11702.docx Form and Instruction
Appendix I-04 - 1. Cross Default Agreement Appendix I-04 - 1.8.15.docx Form and Instruction
Appendix I-04 - 1. Cross Default Agreement Appendix I-04 - 1.8.15.docx Form and Instruction
Appendix I-06 ACH Debit Authorization Appendix I-06.docx Form and Instruction
Appendix I-06 ACH Debit Authorization Appendix I-06.docx Form and Instruction
Appendix I-06Form1 ACH Debit Authorization Appendix I-06Form11709A.docx Form and Instruction
Appendix I-06Form1 ACH Debit Authorization Appendix I-06Form11709A.docx Form and Instruction
Appendix I-07 Form Master Agreement fore Participation Accounting Appendix I-07.docx Form and Instruction
Appendix I-07 Form Master Agreement fore Participation Accounting Appendix I-07.docx Form and Instruction
Appendix II-01 For Letter of Transmittal Appendix II-01 Form 11700.docx Form and Instruction
Appendix II-01 For Letter of Transmittal Appendix II-01 Form 11700.docx Form and Instruction
Appendix II-01 Letter of Transmittal Appendix II-01.docx Form and Instruction
Appendix II-01 Letter of Transmittal Appendix II-01.docx Form and Instruction
Appendix II-02 For Commitment to Guaranty Mortgage-Backed Securities Appendix II-02 Form 11704.docx Form and Instruction
Appendix II-02 For Commitment to Guaranty Mortgage-Backed Securities Appendix II-02 Form 11704.docx Form and Instruction
Appendix III-04For Master Custodial Agreement Appendix III-04Form11715.docx Form and Instruction
Appendix III-04For Master Custodial Agreement Appendix III-04Form11715.docx Form and Instruction
Appendix III-22For Custodian's Certification for Construction Securities Appendix III-22Form11732.docx Form and Instruction
Appendix III-22For Custodian's Certification for Construction Securities Appendix III-22Form11732.docx Form and Instruction
Appendix VI-02 Letter for Loan Repurchase Appendix VI-02.docx Form and Instruction
Appendix VI-02 Letter for Loan Repurchase Appendix VI-02.docx Form and Instruction
Appendix VI-10 Issuer's Monthly Remittance Advice Appendix VI-10.docx Form and Instruction
Appendix VI-10 Issuer's Monthly Remittance Advice Appendix VI-10.docx Form and Instruction
Appendix VI-14 Multifamily Prepayment Penalty Record File Layout Appendix VI-14.docx Form and Instruction
Appendix VI-14 Multifamily Prepayment Penalty Record File Layout Appendix VI-14.docx Form and Instruction
Appendix VI-16 Quarterly Custodial Account Verification Record File Lay Appendix VI-16.docx Form and Instruction
Appendix VI-16 Quarterly Custodial Account Verification Record File Lay Appendix VI-16.docx Form and Instruction
Appendix VI-18 WHFIT Reporting Appendix VI-18.docx Form and Instruction
Appendix VI-18 WHFIT Reporting Appendix VI-18.docx Form and Instruction
Appendix VI-20 Electronic Submission of Issuers' Insurance and Annual A Appendix VI-20.docx Form and Instruction
Appendix VI-20 Electronic Submission of Issuers' Insurance and Annual A Appendix VI-20.docx Form and Instruction
OFFICIAL App. VI-1 Quarterly Custodial Account Verification Record File Lay OFFICIAL App. VI-16.docx Form and Instruction
OFFICIAL App. VI-1 Quarterly Custodial Account Verification Record File Lay OFFICIAL App. VI-16.docx Form and Instruction
VI-9 Request for Reimbursement of Mortgage Insurance Claim Co Appendex VI-09.docx Form and Instruction
VI-9 Request for Reimbursement of Mortgage Insurance Claim Co Appendex VI-09.docx Form and Instruction
Appendex VI-10 For Issuer's Monthly Remittance Advice Appendex VI-10 Form11714.docx Form and Instruction
Appendex VI-10 For Issuer's Monthly Remittance Advice Appendex VI-10 Form11714.docx Form and Instruction
Appendix III-05 Fo Release of Security Interest Appendix III-05Form11711A.docx Form and Instruction
Appendix III-05 Fo Release of Security Interest Appendix III-05Form11711A.docx Form and Instruction
Appendix III-03 Fo Masters Agreement for Servicer's Escrow Custodial Accoun Appendix III-03Form11720.docx Form and Instruction
Appendix III-03 Fo Masters Agreement for Servicer's Escrow Custodial Accoun Appendix III-03Form11720.docx Form and Instruction
Appendix III-05 Fo Certification and Agreement Appendix III-05Form11711B.docx Form and Instruction
Appendix III-05 Fo Certification and Agreement Appendix III-05Form11711B.docx Form and Instruction
Appendix -13 Electronic Data Interchange System Agreement Appendix III-13.docx Form and Instruction
Appendix -13 Electronic Data Interchange System Agreement Appendix III-13.docx Form and Instruction
Appendix III-21 Certification Requirements for the Pooling of Multifamil Appendix III-21.docx Form and Instruction
Appendix III-21 Certification Requirements for the Pooling of Multifamil Appendix III-21.docx Form and Instruction
Appendix III-28 Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Appendix III-28 - dlm.docx Form and Instruction
Appendix III-28 Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Appendix III-28 - dlm.docx Form and Instruction
Appendix VI_21 HMBS Issuer's Monthly Summary Report Appendix VI-21.docx Form and Instruction
Appendix VI_21 HMBS Issuer's Monthly Summary Report Appendix VI-21.docx Form and Instruction
Appendix III-07 HU Schedule of Pooled Mortgages Appendix III-07 HUD 11706 Instructions.docx Form and Instruction
Appendix III-07 HU Schedule of Pooled Mortgages Appendix III-07 HUD 11706 Instructions.docx Form and Instruction
Appendix III-06 HU Schedule of subscribers and Ginnie Mae Guaranty Agreemen Appendex III-06 HUD 11705 Instructions.docx Form and Instruction
Appendix III-06 HU Schedule of subscribers and Ginnie Mae Guaranty Agreemen Appendex III-06 HUD 11705 Instructions.docx Form and Instruction
Appendix I-01 Inst Application for Approval Ginnie Mae Mortgage- Backed Sec Appendix I-01 Instructions.docx Form and Instruction
Appendix I-01 Inst Application for Approval Ginnie Mae Mortgage- Backed Sec Appendix I-01 Instructions.docx Form and Instruction
Appendix I-02-Inst Resolution of Board of Directors and Certificate of Auth Appendix I-02 - Instruction.docx Form and Instruction
Appendix I-02-Inst Resolution of Board of Directors and Certificate of Auth Appendix I-02 - Instruction.docx Form and Instruction
Appendix III-01 In Master Servicing Agreement Appendix III-01_Instructions (1).docx Form and Instruction
Appendix III-01 In Master Servicing Agreement Appendix III-01_Instructions (1).docx Form and Instruction
Appendix III-01 Fo Master Servicing Agreement Appendex III-01 Form 11707.docx Form and Instruction
Appendix III-01 Fo Master Servicing Agreement Appendex III-01 Form 11707.docx Form and Instruction
Appendix III-03 Master Agreement for Servicer's Escrow Custodial Account Appendix III-03_Instructions.docx Form and Instruction
Appendix III-03 Master Agreement for Servicer's Escrow Custodial Account Appendix III-03_Instructions.docx Form and Instruction
Appendix III-04 MASTER CUSTODIAL AGREEMENT Appendix III-04_Instructions.docx Form and Instruction
Appendix III-04 MASTER CUSTODIAL AGREEMENT Appendix III-04_Instructions.docx Form and Instruction
Appendix III-05 Release of Security Interest and Certification and Agree Appendix III-05 - Instructions.docx Form and Instruction
Appendix III-05 Release of Security Interest and Certification and Agree Appendix III-05 - Instructions.docx Form and Instruction
Appendix I-07 Form Master Agreement for Participation Accounting Master Agreement for Participation Accounting.pdf Form and Instruction
Appendix I-07 Form Master Agreement for Participation Accounting Master Agreement for Participation Accounting.pdf Form and Instruction
Appendix VI-11Form Issuer's Monthly Serial Note Remittance Advice Appendix VI-11Form11714SN.docx Form and Instruction
Appendix VI-11Form Issuer's Monthly Serial Note Remittance Advice Appendix VI-11Form11714SN.docx Form and Instruction
Appendix VIII-01 Ginnie Mae Acknowledgement Agreement and Accompanying Do Appendix VIII-01.docx Form and Instruction
Appendix VIII-01 Ginnie Mae Acknowledgement Agreement and Accompanying Do Appendix VIII-01.docx Form and Instruction
Appendix XI-06 SSCRA Loan Eligibility Information Appendex XI-06 .docx Form and Instruction
Appendix XI-06 SSCRA Loan Eligibility Information Appendex XI-06 .docx Form and Instruction
Appendix XI-08 Service Members Civil Relief Act Quartrely Reimbursement Appendex XI-08.docx Form and Instruction
Appendix XI-08 Service Members Civil Relief Act Quartrely Reimbursement Appendex XI-08.docx Form and Instruction
Appendix XI-09 SSCRA Eligibility and Reimbursement Files Appendix XI-09 .docx Form and Instruction
Appendix XI-09 SSCRA Eligibility and Reimbursement Files Appendix XI-09 .docx Form and Instruction
Appendix III-02 Fo Master Agreement for Service's Principal and interest Cu Appendix III-02Form11709.docx Form and Instruction
Appendix III-02 Fo Master Agreement for Service's Principal and interest Cu Appendix III-02Form11709.docx Form and Instruction
Appendix III-02_In Master Atreement for Servicer's Principal and Interest C Appendix III-02_Instructions (1).docx Form and Instruction
Appendix III-02_In Master Atreement for Servicer's Principal and Interest C Appendix III-02_Instructions (1).docx Form and Instruction
Appendix VI-17 REPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY Final - Appendix VI-17.docx Form and Instruction
Appendix VI-17 REPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY Final - Appendix VI-17.docx Form and Instruction
Appendix VI-19 REPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPOR Final - Appendix VI-19.docx Form and Instruction
Appendix VI-19 REPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPOR Final - Appendix VI-19.docx Form and Instruction
HUD - 11708 REQUEST FOR RELEASE OF DOCUMENTS Final - OFFICIAL App. V-05 HUD 11708 Form.docx Form
HUD - 11708 REQUEST FOR RELEASE OF DOCUMENTS Final - OFFICIAL App. V-05 HUD 11708 Form.docx Form
HUD-11708 INSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS Final - Appendix_V-05.docx Form and Instruction
HUD-11708 INSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS Final - Appendix_V-05.docx Form and Instruction
HUD - 11705 Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Final - Appendix III-06 HUD 11705.docx Form and Instruction
HUD - 11705 Schedule of Subscribers and Ginnie Mae Guaranty Agreemen Final - Appendix III-06 HUD 11705.docx Form and Instruction
Appendix 111-07 HU Schedule of Pooled Mortgages Final - Appendix III-07 HUD 11706.docx Form and Instruction
Appendix 111-07 HU Schedule of Pooled Mortgages Final - Appendix III-07 HUD 11706.docx Form and Instruction
Appendix VI-22 Appendix VI-22 Final - Appendix VI-22 v3.2.docx Form and Instruction
Appendix VI-22 Appendix VI-22 Final - Appendix VI-22 v3.2.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Ginnie Mae Mortgage-Backed Securities Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 306(g) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	App. VIII-03	Assignment Agreement	App. VIII-03 .docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendex III-29 INSTRUCTIONS	SYSTEMS ACCESS FORMS	Appendex III-29.doc	Yes	Yes	Fillable Printable
Form and Instruction	Appendex III-06 HUD 11705	Schedule of Subscribers and Ginnie Mae Guaranty Agreement	Final Revised Appendix III-06 HUD 11705.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendex III-07 HUD 11706	Schedule of Pooled Mortgages	Appendex III-07 HUD 11706.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendex VI-05	ISSUER’S MONTHLY SUMMARY REPORT	Appendex VI-05.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-01 Form 11701	Application for Approval Ginnie Mae Mortgage-Backed Securities Issuer	Appendix I-01 Form 11701.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-02Form11702	Resolution of Board of Directors and Certificate of Authorized Signatures	Appendix I-02Form11702.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-04 - 1.8.15	Cross Default Agreement	Appendix I-04 - 1.8.15.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-06	ACH Debit Authorization	Appendix I-06.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-06Form11709A	ACH Debit Authorization	Appendix I-06Form11709A.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-07 Form HUD 11703-II	Master Agreement fore Participation Accounting	Appendix I-07.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix II-01 Form 11700	Letter of Transmittal	Appendix II-01 Form 11700.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix II-01	Letter of Transmittal	Appendix II-01.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix II-02 Form 11704	Commitment to Guaranty Mortgage-Backed Securities	Appendix II-02 Form 11704.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-04Form11715	Master Custodial Agreement	Appendix III-04Form11715.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-22Form11732	Custodian's Certification for Construction Securities	Appendix III-22Form11732.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-02	Letter for Loan Repurchase	Appendix VI-02.docx	No		Paper Only
Form and Instruction	Appendix VI-10	Issuer's Monthly Remittance Advice	Appendix VI-10.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-14	Multifamily Prepayment Penalty Record File Layout	Appendix VI-14.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-16	Quarterly Custodial Account Verification Record File Layout	Appendix VI-16.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-18	WHFIT Reporting	Appendix VI-18.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-20	Electronic Submission of Issuers' Insurance and Annual Audited Financial Documents	Appendix VI-20.docx	Yes	Yes	Fillable Printable
Form and Instruction	OFFICIAL App. VI-16	Quarterly Custodial Account Verification Record File Layout	OFFICIAL App. VI-16.docx	Yes	Yes	Fillable Printable
Form and Instruction	VI-9	Request for Reimbursement of Mortgage Insurance Claim Costs	Appendex VI-09.docx	No		Paper Only
Form and Instruction	Appendex VI-10 Form 11714	Issuer's Monthly Remittance Advice	Appendex VI-10 Form11714.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-05 Form 11711A	Release of Security Interest	Appendix III-05Form11711A.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-03 Form 11720	Masters Agreement for Servicer's Escrow Custodial Account	Appendix III-03Form11720.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-05 Form 11711B	Certification and Agreement	Appendix III-05Form11711B.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix -13	Electronic Data Interchange System Agreement	Appendix III-13.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-21	Certification Requirements for the Pooling of Multifamily Mature Loan Program	Appendix III-21.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-28	Schedule of Subscribers and Ginnie Mae Guaranty Agreement-HMBS Pooling Import File Layout	Appendix III-28 - dlm.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI_21	HMBS Issuer's Monthly Summary Report	Appendix VI-21.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Appendix III-07 HUD 11706 Instructions	Schedule of Pooled Mortgages	Appendix III-07 HUD 11706 Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-06 HUD 11705 Instructions	Schedule of subscribers and Ginnie Mae Guaranty Agreement	Appendex III-06 HUD 11705 Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-01 Instructions	Application for Approval Ginnie Mae Mortgage- Backed Securities Issuser	Appendix I-01 Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-02-Insturuction	Resolution of Board of Directors and Certificate of Authorized Signatures	Appendix I-02 - Instruction.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-01 Instructions	Master Servicing Agreement	Appendix III-01_Instructions (1).docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-01 Form 11707	Master Servicing Agreement	Appendex III-01 Form 11707.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-03	Master Agreement for Servicer's Escrow Custodial Account	Appendix III-03_Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-04	MASTER CUSTODIAL AGREEMENT	Appendix III-04_Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-05	Release of Security Interest and Certification and Agreement	Appendix III-05 - Instructions.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix I-07 Form 11703	Master Agreement for Participation Accounting	Master Agreement for Participation Accounting.pdf	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-11Form1174SN	Issuer's Monthly Serial Note Remittance Advice	Appendix VI-11Form11714SN.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VIII-01	Ginnie Mae Acknowledgement Agreement and Accompanying Documents Pledge of Servicing	Appendix VIII-01.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix XI-06	SSCRA Loan Eligibility Information	Appendex XI-06 .docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix XI-08	Service Members Civil Relief Act Quartrely Reimbursement Requirement	Appendex XI-08.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix XI-09	SSCRA Eligibility and Reimbursement Files	Appendix XI-09 .docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix III-02 Form 11709	Master Agreement for Service's Principal and interest Custodial Account	Appendix III-02Form11709.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Appendix III-02_Instructions	Master Atreement for Servicer's Principal and Interest Custodial Account	Appendix III-02_Instructions (1).docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-17	REPORTING AND FEEDBACK SYSTEM (RFS) HMBS ISSUER MONTHLY REPORT OF POOL, LOAN AND PARTICIPATION DATA	Final - Appendix VI-17.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Appendix VI-19	REPORTING AND FEEDBACK SYSTEM (RFS) ISSUER MONTHLY REPORT OF POOL AND LOAN DATA	Final - Appendix VI-19.docx	Yes	Yes	Fillable Fileable
Form	HUD - 11708	REQUEST FOR RELEASE OF DOCUMENTS	Final - OFFICIAL App. V-05 HUD 11708 Form.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-11708	INSTRUCTIONS FOR REQUEST OF RELEASE OF DOCUMENTS	Final - Appendix_V-05.docx	Yes	Yes	Fillable Fileable
Form and Instruction	HUD - 11705	Schedule of Subscribers and Ginnie Mae Guaranty Agreement	Final - Appendix III-06 HUD 11705.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix 111-07 HUD - 11706	Schedule of Pooled Mortgages	Final - Appendix III-07 HUD 11706.docx	Yes	Yes	Fillable Printable
Form and Instruction	Appendix VI-22	Appendix VI-22	Final - Appendix VI-22 v3.2.docx	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 423	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	216,128	-66,916	283,044
Annual IC Time Burden (Hours)	48,501	10,525	37,976
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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