Section 184 and 184-A Loan Guarantee Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-50148 Checklist for Proposed Transactions That Are Less Than One Year Old	Form and Instruction	Removed	Available
Form HUD-50128-A Section 184A Native Hawaiian Housing Loan Guarantee Program Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refinance Transactions	Form and Instruction	Removed	Available
Form HUD-50125-A Single Close 184A Applicant Acknowledgement	Form and Instruction	Removed	Available
Form HUD-50119-A Section 184A Native Hawaiian Housing Loan Guarantee Program Post Endorsement Submission Checklist - Direct Guaranteee (Single Cose New Construction and Rehabilitation Documents)	Form and Instruction	Removed	Available
Form HUD-50112-A Section 184A Construction Loan Rider	Form and Instruction	Removed	Available
Form HUD-50100-A Section 184A Warranty of Completion of Construction	Form and Instruction	Removed	Available
Form HUD-53039-A Section 184A Native Hawaiian Housing Loan Guarantee Certificate	Form and Instruction	Removed	Available
Form HUD-53039 Section 184 Indian Loan Guarantee Certificate	Form and Instruction	Removed	Available
Form HUD-50143-A Section 184A Loan Guarantee Firm Commitment Form	Form and Instruction	Removed	Available
Form HUD-50131-A Request for Section 184A Case Number	Form and Instruction	Removed	Available
Form HUD-50127-A Section 184A Native Hawaiian Loan Guarantee Program Endorsement Submission Checklist - Direct Guarantee (Acquisition of Existing Home and Single Close New Construction and Rehabilitation Loans)	Form and Instruction	Removed	Available
Form HUD-50124-A Section 184A Homebuyer Notice Form	Form and Instruction	Removed	Available
Form HUD-50118-A Mortgagee's Assurance of Completion - Section 184A Loan	Form and Instruction	Removed	Available
Form HUD-50111-A Section 184-A Addendum to Uniform Residential Loan Application	Form and Instruction	Removed	Available
Form HUD-50149-A Rider for Section 184A Mortgage (LEASEHOLD)	Form and Instruction	Removed	Available
Form HUD-50149 Rider for Section 184 Mortgage - Leasehold	Form and Instruction	Removed	Available
Form HUD-50131-A Request for Section 184A Case Number	Form and Instruction	Removed	Available
Form HUD-50132 Mortgage Credit Analysis Worksheet	Form and Instruction	Removed	Available
Form HUD-50132 Loan Guarantees for Indian Housing	Form and Instruction	Removed	Repair queued
Form HUD XXXXX Direct Quarantee Lender's Annual Recertification	Form	New	Available
Form HUD XXXX Borrower's Identiy of Interest and Conflict of Interest Certification	Form	New	Available
Form HUD XXXX Tribal Application	Form	New	Available
Form HUD XXXX Tribal Annual Recertification	Form	New	Available
Form HUD XXXX Pre Foreclosure Sales Contract Review	Form	New	Available
Form HUD XXXX Pre Foreclosure Sale Closing Worksheet	Form	New	Available
Form HUD XXXXX Pre-Foresclosure Sale Agreement	Form	New	Available
Form HUD XXXXX Notice of Conveyance of Deed to HUD	Form	New	Available
Form HUD XXXX Lender Application	Form	New	Available
Form HUD XXXXX Borrow"s Authorization of Tribal Notification	Form	New	Available
Form HUD XXXXXX Warranty of Completion	Form	New	Available
Form HUD XXXXXX Section 184 and 184-A Loan Guarantee Program	Form	New	Repair queued
Supporting Statement_2577-0200 3.docx	Supporting Statement A	Uploaded 2024-02-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Checklist for Proposed Transactions That Are Less Than One Year Old
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Native Hawaiian Housing Loan Guarantee Program Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refinance Transactions
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Single Close 184A Applicant Acknowledgement
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Native Hawaiian Housing Loan Guarantee Program Post Endorsement Submission Checklist - Direct Guaranteee (Single Cose New Construction and Rehabilitation Documents)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Construction Loan Rider
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Warranty of Completion of Construction
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Native Hawaiian Housing Loan Guarantee Certificate
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184 Indian Loan Guarantee Certificate
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Loan Guarantee Firm Commitment Form
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Request for Section 184A Case Number
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Native Hawaiian Loan Guarantee Program Endorsement Submission Checklist - Direct Guarantee (Acquisition of Existing Home and Single Close New Construction and Rehabilitation Loans)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184A Homebuyer Notice Form
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Mortgagee's Assurance of Completion - Section 184A Loan
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Section 184-A Addendum to Uniform Residential Loan Application
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Rider for Section 184A Mortgage (LEASEHOLD)
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Rider for Section 184 Mortgage - Leasehold
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Request for Section 184A Case Number
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed	Mortgage Credit Analysis Worksheet
27857	Loan Guarantees for Indian Housing	Form and Instruction	Removed
27857	Loan Guarantees for Indian Housing	Other-Screen View	Removed
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Direct Quarantee Lender's Annual Recertification
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Borrower's Identiy of Interest and Conflict of Interest Certification
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Tribal Application
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Tribal Annual Recertification
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Pre Foreclosure Sales Contract Review
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Pre Foreclosure Sale Closing Worksheet
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Pre-Foresclosure Sale Agreement
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Notice of Conveyance of Deed to HUD
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Lender Application
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Borrow"s Authorization of Tribal Notification
265281	Section 184 and 184-A Loan Guarantee Program	Form	New	Warranty of Completion
265281	Section 184 and 184-A Loan Guarantee Program	Form	New

ICR Details

OMB Control No: 2577-0200	ICR Reference No: 202402-2577-001
Status: PreApproved	Previous ICR Reference No: 201706-2577-002
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0200
Title: Section 184 and 184-A Loan Guarantee Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 03/15/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/15/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved
Responses	8,454	0	0
Time Burden (Hours)	520	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Information collected determines if the Department will guarantee loans and mortgage insurance made by private lenders to Native American borrowers on "Indian areas".

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Authorizing Statute(s): US Code: 44 USC Chapter 35, as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AD01	Proposed rulemaking	87 FR 78324	12/21/2022

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Loan Guarantees for Indian Housing	HUD-50125-A, HUD-50148, HUD-50132, HUD-50131-A, HUD-50149, HUD-50149-A, HUD-50111-A, HUD-50118-A, HUD-50124-A, HUD-50127-A, HUD-50131-A, HUD-50143-A, HUD-53039, HUD-53039-A, HUD-50100-A, HUD-50112-A, HUD-50119-A, HUD-50128-A	Mortgage Credit Analysis Worksheet ,   Request for Section 184A Case Number ,   Rider for Section 184 Mortgage - Leasehold ,   Rider for Section 184A Mortgage (LEASEHOLD) ,   Section 184-A Addendum to Uniform Residential Loan Application ,   Mortgagee's Assurance of Completion - Section 184A Loan ,   Section 184A Homebuyer Notice Form ,   Section 184A Native Hawaiian Loan Guarantee Program Endorsement Submission Checklist - Direct Guarantee (Acquisition of Existing Home and Single Close New Construction and Rehabilitation Loans) ,   Request for Section 184A Case Number ,   Section 184A Loan Guarantee Firm Commitment Form ,   Section 184 Indian Loan Guarantee Certificate ,   Section 184A Native Hawaiian Housing Loan Guarantee Certificate ,   Section 184A Warranty of Completion of Construction ,   Section 184A Construction Loan Rider ,   Section 184A Native Hawaiian Housing Loan Guarantee Program Post Endorsement Submission Checklist - Direct Guaranteee (Single Cose New Construction and Rehabilitation Documents) ,   Single Close 184A Applicant Acknowledgement ,   Section 184A Native Hawaiian Housing Loan Guarantee Program Request for Loan Guarantee Endorsement Submission Checklist Direct Guarantee Refinance Transactions ,   Checklist for Proposed Transactions That Are Less Than One Year Old
Section 184 and 184-A Loan Guarantee Program	HUD XXXXX, HUD XXXXXX, HUD XXXXX, HUD XXXX, HUD XXXXX, HUD XXXX, HUD XXXX, HUD XXXX, HUD XXXX, HUD XXXX, HUD XXXXX	Warranty of Completion ,   Borrow"s Authorization of Tribal Notification ,   Lender Application ,   Notice of Conveyance of Deed to HUD ,   Pre-Foresclosure Sale Agreement ,   Pre Foreclosure Sale Closing Worksheet ,   Pre Foreclosure Sales Contract Review ,   Tribal Annual Recertification ,   Tribal Application ,   Borrower's Identiy of Interest and Conflict of Interest Certification ,   Direct Quarantee Lender's Annual Recertification

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ICR Summary of Burden

table that charts list of burden

	Total Preapproved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,454	0	0	-13,531	0	21,985
Annual Time Burden (Hours)	520	0	0	-5,531	0	6,051
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a reinstatement.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/15/2024

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