Information Collection

Application for HECM Counselor Roster

IC 46649 under ICR 202305-2502-005 · OMB 2502-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD 92904 Application for HECM Counselor Roster	Form
HUD 92904 Application for Home Equity Conversion Mortgage Counselo 508 HUD 92904 clean.pdf	Form
HUD 92904 Application for Home Equity Conversion Mortgage Counselo 508 HUD 92904 clean.pdf	Form
HUD 92902 Certificate of HECM Counseling 508 HUD 92902 CLEAN.pdf	Form
HUD 92902 Certificate of HECM Counseling 508 HUD 92902 CLEAN.pdf	Form

IC Title:

Application for HECM Counselor Roster

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 24 CFR 206 Subpart E

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 92904	Application for Home Equity Conversion Mortgage Counselor Roster	508 HUD 92904 clean.pdf		Yes	Yes	Fillable Fileable
Form	HUD 92902	Certificate of HECM Counseling	508 HUD 92902 CLEAN.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,459

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	28,459	27,854	605
Annual IC Time Burden (Hours)	45,943	45,092	851
Annual IC Cost Burden (Dollars)	0	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.