11-28-2022
HUD Form # 90005, Application For Membership On the Housing Counseling Federal Advising Committee (HCFAC)
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Public reporting burden for this collection of information is estimated to average 1.5 hours 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. Comments regarding the accuracy of this burden estimate and any suggestions for reducing this burden can be sent to the Reports Management Officer, Office of Policy Development and Research, REE, Department of Housing and Urban Development, 451 7th St SW, Room 4176, Washington, DC 20410-5000. When providing comments, please refer to OMB Approval No. 2502-0606. HUD requires this information collected on the HUD-90005 to ensure the members of the Housing Counseling Federal Advisory Committee meet the requirements of the Expand and Preserve Home Ownership Through Counseling Act, title XIV, subtitle D of Public Law 111–203 (Act), 42 USC 3533(g) .This 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. 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)
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Public reporting burden for this collection of information is estimated to average 1.5 hours 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. This 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. 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) |
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Gender:
a) Male b) Female c) Transgender d) Other
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Gender:
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Please provide the following housing information:
Do you:
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To ensure that we have housing diversity on the HCFAC, please describe your current housing circumstances (own, rent, housing type, etc.): |
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Is where you live:
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Do you live in the:
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On the question on Special Accommodation If so, what are they? |
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This question has been added to determine what accommodation is needed |
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To ensure that we have housing diversity on the HCFAC, please describe your current housing circumstances (own, rent, housing type, etc.): |
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Briefly provide any other information about yourself that you feel is important to you contribution to the diversity of the HCFAC |
To ensure that we have geographic diversity on the HCFAC, please describe the community or neighborhood in which your home and/or business is located: |
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. Briefly provide any other information about yourself that you feel is important to you contribution to the diversity of the HCFAC |
Briefly provide any other information about yourself that you feel is important to you contribution to the diversity of the HCFAC |
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Please briefly describe your housing experience, including the number of years. Include your experience with FHA programs and products.
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Experience:
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Please briefly describe your housing counseling experience, including the number of years.
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Experience:
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Please briefly describe your managerial/leadership experience, including the number of years.
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Experience:
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Please briefly describe your civic and community activities, including the number of years.
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Experience:
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Each member will represent the mortgage industry, real estate industry, consumers, or HUD-approved housing counseling agencies. Please identify which member group(s) fit your background and skills:
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | FF-####, TITLE |
Author | FEMA Employee |
File Modified | 0000-00-00 |
File Created | 2023-10-04 |