Section 184 and 184-A Loan Guarantee Program

Forms and Documents

Document	Type	Status	Availability
Form 50175 Section 184 MCAW	Form	Modified	Available
Form 50131 Case Number Request Form	Form	Modified	Available
Form 50129 Loan Guarantee Fee Refund Request	Form	Modified	Available
Form 50114 Tribal Land Status Jurisdiction	Form	Modified	Available
Form 50111 Addendum to Uniform Residential Loan Application	Form	Modified	Available
Form 50109 Request for Acceptance of Changes Approved Drawings and Specifications	Form	Modified	Available
Form 50108 Pre-foreclosure Sale Program Request for Variance	Form	Modified	Available
Form 50107 Builders Certification of Plans, Specs and Site	Form	Modified	Available
Form 50106 Mortgage Record Change	Form	Modified	Available
Form 50105 Compliance Inspection Report	Form	Modified	Available
Form 50104 Exceed Cost limit for PPP Request	Form	Modified	Available
Form 50103 Extension of Time Request	Form	Modified	Available
Form 50102 Condominium Loan Level Single-Unit Approval Questionnaire	Form	Modified	Available
Form 50101 Single Close Construction Rehab Acknowledgment	Form	Modified	Available
Form 50098 Lender Assurance of Completion	Form	Modified	Available
Form 50097 Lender Reservation of Funds Request	Form	Modified	Available
2577-0200 30-Day FRN pub.pdf	Supplementary Document	Uploaded 2026-06-23	Available
2577-0200 Sec 184 and 184A Loan Guarantee Program 60-day FRN 6-13-25.pdf	Supplementary Document	Uploaded 2026-06-17	Available
Final - OMB 2577-0200 Supporting Statement - 6.10.26.docx	Supporting Statement A	Uploaded 2026-06-17	Available
2577-0200 Anonymous Public Comment Regulations 8-12-25.gov.pdf	Public Comments	Uploaded 2025-08-12	Available
PTA Forms.docx	Supplementary Document	Uploaded 2017-11-15	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
27857	Loan Guarantees for Indian Housing	Form	Modified	Section 184 MCAW
27857	Loan Guarantees for Indian Housing	Form	Modified	Case Number Request Form
27857	Loan Guarantees for Indian Housing	Form	Modified	Loan Guarantee Fee Refund Request
27857	Loan Guarantees for Indian Housing	Form	Modified	Tribal Land Status Jurisdiction
27857	Loan Guarantees for Indian Housing	Form	Modified	Addendum to Uniform Residential Loan Application
27857	Loan Guarantees for Indian Housing	Form	Modified	Request for Acceptance of Changes Approved Drawings and Specifications
27857	Loan Guarantees for Indian Housing	Form	Modified	Pre-foreclosure Sale Program Request for Variance
27857	Loan Guarantees for Indian Housing	Form	Modified	Builders Certification of Plans, Specs and Site
27857	Loan Guarantees for Indian Housing	Form	Modified	Mortgage Record Change
27857	Loan Guarantees for Indian Housing	Form	Modified	Compliance Inspection Report
27857	Loan Guarantees for Indian Housing	Form	Modified	Exceed Cost limit for PPP Request
27857	Loan Guarantees for Indian Housing	Form	Modified	Extension of Time Request
27857	Loan Guarantees for Indian Housing	Form	Modified	Condominium Loan Level Single-Unit Approval Questionnaire
27857	Loan Guarantees for Indian Housing	Form	Modified	Single Close Construction Rehab Acknowledgment
27857	Loan Guarantees for Indian Housing	Form	Modified	Lender Assurance of Completion
27857	Loan Guarantees for Indian Housing	Form	Modified	Lender Reservation of Funds Request

ICR Details

OMB Control No: 2577-0200	ICR Reference No: 202604-2577-002
Status: Received in OIRA	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 with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/23/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	26,104	0
Time Burden (Hours)	2,701	0
Cost Burden (Dollars)	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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 25068	06/13/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 37415	06/23/2026
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Loan Guarantees for Indian Housing	50097, 50098, 50101, 50102, 50103, 50104, 50105, 50106, 50107, 50108, 50109, 50111, 50131, 50129, 50175, 50114	Lender Reservation of Funds Request ,   Lender Assurance of Completion ,   Single Close Construction Rehab Acknowledgment ,   Condominium Loan Level Single-Unit Approval Questionnaire ,   Extension of Time Request ,   Exceed Cost limit for PPP Request ,   Compliance Inspection Report ,   Mortgage Record Change ,   Builders Certification of Plans, Specs and Site ,   Pre-foreclosure Sale Program Request for Variance ,   Request for Acceptance of Changes Approved Drawings and Specifications ,   Addendum to Uniform Residential Loan Application ,   Tribal Land Status Jurisdiction ,   Loan Guarantee Fee Refund Request ,   Case Number Request Form ,   Section 184 MCAW

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ICR Summary of Burden

	Total Request	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	26,104	0	0	4,119	0	21,985
Annual Time Burden (Hours)	2,701	0	0	-3,350	0	6,051
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This collection is a reinstatement with change of a previously approved collection. With respect to the Section 184 Program, these forms are consistent with the requirements set forth in 24 CFR Part 1005. All the forms are new to the Section 184 Program. HUD-50097, HUD-50098, HUD-50101, HUD-50102, HUD-50103, HUD-50104, HUD-50105, HUD-50106, HUD-50107, HUD-50108, HUD-50109, HUD-50111, HUD-50114, HUD-50129, HUD-50131, and HUD-50175. All other forms referenced in the collection remain active and unchanged.

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Annual Cost to Federal Government: $151,062

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: 06/23/2026

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