Information Collection

Personal Financial and Credit Statement

IC 26965 under ICR 202210-2502-005 · OMB 2502-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-92417 Personal Financial and Credit Statement	Form
HUD-92417 Personal Financial and 2502-0001 - Form 92417.pdf	Form

IC Title:

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 207.1(b)

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-92417	Personal Financial and	2502-0001 - Form 92417.pdf		No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,230

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,230	1,230
Annual IC Time Burden (Hours)	9,840	9,840
Annual IC Cost Burden (Dollars)	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.