Homeowner Assistance Fund

Forms and Documents

Document Name	Status
Final Annual Report Form and Instruction	New
Final Quarterly Compliance Report Form and Instruction	New
Annual Performance Report Form and Instruction	Modified
Quarterly Compliance Report – DHHL or Form and Instruction	Modified
$5M Allocation Form and Instruction	Modified
HAF Title VI Assurances Form and Instruction	Removed
Recipient Payment Information Form Form and Instruction	Removed
Notice of Funds Request Form Form and Instruction	Removed
Acceptance of Award Terms Form Form and Instruction	Removed
1505-0269 HAF Supporting Statement 2025-07-31.docx Supporting Statement A	2025-07-31

IC Document Collections

IC ID	Document Title	Status
276813	Final Annual Report Form and Instruction	New
276812	Final Quarterly Compliance Report Form and Instruction	New
253241	Annual Performance Report Form and Instruction	Modified
253238	Quarterly Compliance Report – DHHL or Form and Instruction	Modified
253086	$5M Allocation Form and Instruction	Modified
248644	HAF Term Sheet - sample Other-sample	Modified
248510	Grantee Plan Templates Other-template	Modified
247619	HAF Title VI Assurances Form and Instruction	Removed
246805	Recipient Payment Information Form Form and Instruction	Removed
246804	Notice of Funds Request Form Form and Instruction	Removed
246803	Acceptance of Award Terms Form Form and Instruction	Removed

ICR Details

OMB Control No: 1505-0269	ICR Reference No: 202507-1505-004
Status: Received in OIRA	Previous ICR Reference No: 202505-1505-002
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Homeowner Assistance Fund
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/31/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2025
Responses	1,698	5,409
Time Burden (Hours)	5,527	7,478
Cost Burden (Dollars)	0	0

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Abstract: On March 11, 2021, the President signed the American Rescue Plan Act of 2021 (the “Act”), Pub. L. No. 117-2. Title III, Subtitle B, Section 3206 of the Act established the Homeowner Assistance Fund and provides $9.961 billion for the U.S. Department of the Treasury (Treasury) to make payments to States (defined to include the District of Columbia, Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), Indian tribes or tribally designated housing entities, as applicable, and the Department of Hawaiian Home Lands (collectively the “eligible entities”) to mitigate financial hardships associated with the coronavirus pandemic, including for the purposes of preventing homeowner mortgage delinquencies, defaults, foreclosures, loss of utilities or home energy services, and displacements of homeowners experiencing financial hardship after January 21, 2020, through qualified expenses related to mortgages and housing. Section 3206(c)(1) requires the eligible entities to use the funds for the purpose of preventing homeowner mortgage delinquencies, defaults, foreclosures, loss of utilities or home energy services, and displacements of homeowners experiencing financial hardship after January 21, 2020, through qualified expenses related to mortgages and housing. Section 3206(e)(1) provides that not later than 45 days after March 11, 2021, the Secretary shall pay each eligible entity. To date, eligible entities have generally received 10% of their allocations.

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Authorizing Statute(s): PL: Pub.L. 117 - 2 3206 Name of Law: American Rescue Plan Act of 2021
  

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 19792	05/08/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 35964	07/30/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Acceptance of Award Terms Form	n/a	Acceptance of Award Terms Form
Annual Performance Report	n/a, n/a	Guidance on Participant Compliance and Reporting Responsibilities ,   Annual Report User Guide
Final Annual Report	n/a, n/a	Guidance on Participant Compliance and Reporting Responsibilities ,   Annual Report User Guide
Final Quarterly Compliance Report	n/a	Quarterly Report
Grantee Plan Templates
HAF Term Sheet - sample
HAF Title VI Assurances	n/a	ASSURANCES OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS
Notice of Funds Request Form	n/a	Notice of Funds Request
Quarterly Compliance Report – DHHL or <$5M Allocation	n/a	Quarterly Report
Quarterly Compliance Report – State or >$5M Allocation	n/a	Quarterly Report
Recipient Payment Information Form	n/a	Recipient Payment Information Form

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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	1,698	5,409	0	0	-3,711	0
Annual Time Burden (Hours)	5,527	7,478	0	0	-1,951	0
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: No

Burden Reduction Due to:

Short Statement: Acceptance of Award Terms Form, Notice of Funds Request Form, Participant Payment Information Form, and Title VI Assurances have been removed as the HAF program application deadline has passed. Overall number of respondents has declined because some entities that were allocated HAF funds did not participate in the HAF program and others have expended most of their HAF funds and have closed out of the program.

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Annual Cost to Federal Government: $3,919,795

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.     No

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.     No

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? Yes

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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: 07/31/2025

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