Information Collection

Emergency Homeownership Loan Program

IC 195998 under ICR 201102-2502-008 · OMB 2502-0597.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0597 can be found here:

Documents and Forms

Document Name Document Type
Screenshots.zipx Other-Screenshots
96021a-EHLP.docx Other-Notice of Termination Letter
96021b-EHLP.docx Other-Notice of Termination Letter
96024-EHLP.pdf Other-Pre-Screening Worksheet
Servicer Common Data File- Data Elements.docx Other-Sample Electronic File Listing
96020-EHLP Commitment Letter 96020-EHLP.docx Form and Instruction
96022-EHLP Termination Appeal Form 96022-EHLP.docx Form and Instruction
96023a-EHLP Applicant Certification Statement 96023a-EHLP.docx Form and Instruction
96023b-EHLP Co-Applicant Certification Statment 96023b-EHLP.docx Form and Instruction
96025a-EHLP Unemployment Affidavit - Self Employed 96025a-EHLP.pdf Form
96025b-EHLP Unempolyment Affidavit - Employer No Longer In Business 96025b-EHLP.pdf Form
96026-EHLP Third Party Authorization Form 96026-EHLP.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Homeownership Loan Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.8(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			Screenshots.zipx	Yes	Yes	Fillable Fileable
Form and Instruction	96020-EHLP	Commitment Letter	96020-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Notice of Termination Letter			96021a-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Notice of Termination Letter			96021b-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96022-EHLP	Termination Appeal Form	96022-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96023a-EHLP	Applicant Certification Statement	96023a-EHLP.docx	Yes	Yes	Fillable Fileable
Form and Instruction	96023b-EHLP	Co-Applicant Certification Statment	96023b-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Pre-Screening Worksheet			96024-EHLP.pdf	Yes	Yes	Fillable Fileable
Form	96025a-EHLP	Unemployment Affidavit - Self Employed	96025a-EHLP.pdf	Yes	Yes	Fillable Fileable
Form	96025b-EHLP	Unempolyment Affidavit - Employer No Longer In Business	96025b-EHLP.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	96026-EHLP	Third Party Authorization Form	96026-EHLP.docx	Yes	Yes	Fillable Fileable
Other-Sample Electronic File Listing			Servicer Common Data File- Data Elements.docx	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: 36,264	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	214,520	178,256	36,264
Annual IC Time Burden (Hours)	161,548	52,756	108,792
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.