Information Collection

Application for HECM Counselor Roster

IC 46649 under ICR 202502-2502-003 · OMB 2502-0586.

Documents and Forms

Document Name Document Type
Form HUD 92904 Application for HECM Counselor Roster Form
HUD 92904 Application for Home Equity Conversion Mortgage Counselo formHUD92904 updated EO 2.11.25.pdf Form
HUD 92904 Application for Home Equity Conversion Mortgage Counselo formHUD92904 updated EO 2.11.25.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

Information Collection (IC) Details

View Information Collection (IC)

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:

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	formHUD92904 updated EO 2.11.25.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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28,459	28,459
Annual IC Time Burden (Hours)	45,943	45,943
Annual IC Cost Burden (Dollars)	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.