Disaster/National Emergency

U.S. Department of Housing and Urban Development
Office of Housing Counseling

OMB Control Number: 2502-0615

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The information collected will be used assess the operational status of housing counseling agencies after a disaster to determine needed assistance. This collection of information is voluntary. The agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. Responses are protected from disclosure pursuant to the Privacy Act of 1974 . HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012;31 U.S.C. 3729, 3802).

Question Title

* 1. Date of this survey

Date / Time

Date

Question Title

* 2. Agency Name

Question Title

* 3. Agency HCS ID Number

Question Title

* 4. Agency Contact

Question Title

* 5. What state do you reside in?

Question Title

* 6. Is your agency operational (offering housing counseling services):

Yes

Question Title

* 7. Is your “Bricks & Mortar” office?

Open

Closed to public

Closed to staff and public

Question Title

* 8. Are your agency housing counseling staff teleworking?

Yes

Question Title

* 9. Describe any issues converting housing counseling staff to telework.

Access to client files?

Maintaining privacy?

IT/telephone issues

Other (please specify)

Question Title

* 10. Have you had to furlough housing counseling staff due to this National Emergency?

Yes

Question Title

* 11. If so, what percentage of staff is providing housing counseling services?

100%

75%

50%

25%

Question Title

* 12. How have you changed the delivery of your services? Please describe.

Face to face to telephone

Face to face to internet

Both

Question Title

* 13. Have you changed the housing counseling services you are offering?

Yes - Deleted

Yes - Added

Question Title

* 14. List Services Deleted?

Financial Management/Budget Counseling

Home Improvement and Rehabilitation Counseling

Mortgage Delinquency and Default Resolution Counseling

Pre-purchase Counseling

Rental Housing Counseling

Reverse Mortgage Counseling

Services for Homeless Counseling

Fair Housing Pre-purchase Education Workshops

Financial, Budgeting, and Credit Workshops

Non-delinquency Post Purchase Workshops

Predatory Lending Education Workshops

Pre-purchase Homebuyer Education Workshops

Rental Housing Workshops

Resolving/Preventing Mortgage Delinquency Workshops

N/A

Other (please specify)

Question Title

* 15. List Services Added?

Financial Management/Budget Counseling

Home Improvement and Rehabilitation Counseling

Mortgage Delinquency and Default Resolution Counseling

Pre-purchase Counseling

Rental Housing Counseling

Reverse Mortgage Counseling

Services for Homeless Counseling

Fair Housing Pre-purchase Education Workshops

Financial, Budgeting, and Credit Workshops

Non-delinquency Post Purchase Workshops

Predatory Lending Education Workshops

Pre-purchase Homebuyer Education Workshops

Rental Housing Workshops

Resolving/Preventing Mortgage Delinquency Workshops

N/A

Other (please specify)

Question Title

* 16. Which counseling services are most requested? Please put in order of most requested to least requested with 1 being most requested.

Financial Management/Budget Counseling

N/A

Home Improvement and Rehabilitation Counseling

N/A

Mortgage Delinquency and Default Resolution Counseling

N/A

Pre-purchase Counseling

N/A

Rental Housing Counseling

N/A

Reverse Mortgage Counseling

N/A

Services for Homeless Counseling

N/A

Question Title

* 17. Have you seen a change in the number and type of clients requesting housing counseling services since the start of the National Emergency? Please describe.

Yes

Please describe

Question Title

* 18. If you are an affiliate or sub grantee of an Intermediary or State Housing Finance Agency, have you been in touch with your parent agency for assistance or guidance?

Yes

Question Title

* 19. List any questions or concerns you have regarding providing housing counseling services during and after the National Emergency?

Question Title

* 20. If your state has current restrictions in place for business operation, do you plan to resume normal business operations when these restrictions are lifted?

Yes

Question Title

* 21. Has there been an increase in scam activity in your area?

Question Title

* 22. Estimate the expenses incurred as a result of the disaster or national emergency.

Less than 10,000

10,000-25,000

25,000-50,000

50,000-100,000

100,000-300,000

300-500,000

Question Title

* 1. Date of this survey

Question Title

* 2. Agency Name

Question Title

* 3. Agency HCS ID Number

Question Title

* 4. Agency Contact

Question Title

* 5. What state do you reside in?

Question Title

* 6. Is your agency operational (offering housing counseling services):

Question Title

* 7. Is your “Bricks & Mortar” office?

Question Title

* 8. Are your agency housing counseling staff teleworking?

Question Title

* 9. Describe any issues converting housing counseling staff to telework.

Question Title

* 10. Have you had to furlough housing counseling staff due to this National Emergency?

Question Title

* 11. If so, what percentage of staff is providing housing counseling services?

Question Title

* 12. How have you changed the delivery of your services? Please describe.

Question Title

* 13. Have you changed the housing counseling services you are offering?

Question Title

* 14. List Services Deleted?

Question Title

* 15. List Services Added?

Question Title

* 16. Which counseling services are most requested? Please put in order of most requested to least requested with 1 being most requested.

Question Title

* 17. Have you seen a change in the number and type of clients requesting housing counseling services since the start of the National Emergency? Please describe.

Question Title

* 18. If you are an affiliate or sub grantee of an Intermediary or State Housing Finance Agency, have you been in touch with your parent agency for assistance or guidance?

Question Title

* 19. List any questions or concerns you have regarding providing housing counseling services during and after the National Emergency?

Question Title

* 20. If your state has current restrictions in place for business operation, do you plan to resume normal business operations when these restrictions are lifted?

Question Title

* 21. Has there been an increase in scam activity in your area?

Question Title

* 22. Estimate the expenses incurred as a result of the disaster or national emergency.

Question Title

* 23. How long can you maintain operations before experiencing financial stress?

Question Title

* 24. Comments