Form Hud-9908 - Housing Counseling Client Survey printable pdf download

OMB Approval No. 2502-0261

Housing Counseling

U.S. Department of Housing

(Exp. 6/30/2002)

and Urban Development

Client Survey

Office of Housing

Federal Housing Commissioner

Public reporting burden for this collection of information is estimated to average 10 minutes 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. This agency

may not conduct or sponsor, and a person is not required to respond to, a collection information unless that collecton displays a valid OMB control number.

This information is collected in connection with HUD’s Housing Counseling Program, and will be used by HUD to determine that the grant applicant meets

the requirements of the Notice of Funding Availability (NOFA) and to assign points for awarding grant funds on a competitive and equitable basis. The

information is required to obtain funding under Section 106 of the Housing and Community Development Act of 1974. The information is considered sensitive

and is protected by the Privacy Act which requires the records to be maintained with appropriate administrative, technical and physical safeguards to ensure their

security and confidentiality.

Counseling Agency Name and Address (completed by HUD office)

1. When you first went to the counseling agency, what kind of client

6. Was the setting in which the counseling was conducted a private

were you? Check as many boxes as apply to you.

one so that other persons could not hear your conversation?

was renting housing

behind on rent payments

Yes

wanted to rent housing

current on rent payments

landlord problem

being evicted

7. If you wanted rental housing, did the counselor discuss HUD

rental housing programs for which you might be eligible?

employed

unemployed

Yes

wanted to buy housing

buying a house or condominium

mortgage was current

mortgage payments delinquent

8. Did the agency charge you for their services?

Yes

2. Who interviewed you when you first went to the agency?

If “Yes,” did the counselor explain that the charge would be based

a receptionist

a counselor

on a sliding scale and determined by your income?

Yes

3. Did the person who counseled you do any of the following to help

If “Yes,” did you consider the charge to be:

you. Check as many boxes as apply to you.

reasonable

too high

told you how they could help you

suggested that you join a group counseling session

9. Did you participate in any group counseling sessions?

referred you to other community agencies who could help you

Yes

made recommendations to you about what you could do to

solve your housing problem

If “Yes,” did you find the sessions helpful?

got in touch with your landlord or mortgage company to work

Yes

out a plan for you to pay your back rent or past due mortgage

payment

10. Was the counseling agency open during hours when it was

got in touch with your creditors to work out a plan for you to pay

convenient for you to obtain counseling?

your debts

Yes

If you answered “No,” please indicate the hours when the agency

4. If you own your house and are delinquent on your mortgage

was open to assist you.

payments, did the agency do or recommend any of the following

actions?

Opened

Closed

a forebearance agreement with your mortgage company

a deed-in-lieu of a foreclosure of your mortgage

11. If you want further counseling, will you:

that you sell your house and obtain rental housing

go back to the same agency

go to another agency

have you apply to your mortgage company for the assignment

If you checked “go to another agency,” please tell us why.

of your mortgage to HUD

5. Did your counselor impress you as a person who knew what he

or she was doing?

Yes

form HUD-9908 (5/91)

Previous edition is obsolete

ref Handbook 7610.1

Form Hud-9908 - Housing Counseling Client Survey

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