Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Modified 1069 79426 0 Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting
Form HUD-92452A-OHF Payment Bond
Form HUD-92452-OHF Performance Bond
Form HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospitals/Section 242
Form HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification
Form HUD-92013-OHF Application for Hospital Mortgage Insurance
Form HUD-92023-OHF Request for Final Endorsement of Credit Instrument - Hospitals/Section 242
Form HUD-92441-OHF Building Loan Agreement
Form HUD-92448-OHF Contractor's Requisition Project Mortgages
Form and Instruction HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel
Form HUD-92476-OHF Escrow Agreement for Deferred Work
Form HUD-91725-OHF Opinion by Counsel to the Borrower
Form HUD-91070-OHF Consolidated Certifications Borrower
Form HUD-91071-OHF Escrow Agreement for Off-site Facilities
Form HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report
Form HUD-91111-OHF Survey Instructions and Borrower's Certification
Form HUD-92070-OHF Lease Addendum
Form HUD-92080-OHF Change of Mortgage Record
Form HUD-92117-OHF Borrower's Certification- Full or Partial Completion of Project
Form HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f)
Form HUD-92223-OHF Surplus Cash Note
Form HUD-92322-OHF Intercreditor Agreement
Form HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Section 242
Form HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Section 242
Form HUD-92403A-OHF Borrower's and Architect's Certificate of Payment
Form HUD-92403-OHF Application for Insurance of Mortgage Proceeds
Form HUD-92434-OHF Lender's Certificate
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting
Form HUD-92455-OHF Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower, & General Contractor
Form HUD-92456-OHF Escrow Agreement for Incomplete Construction
Form HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation
Form HUD-92466-OHF Regulatory Agreement - Borrower
Form HUD-92479-OHF Off-Site Bond - Dual Obligee
Form HUD-92554-OHF Supplementary Conditions of the Contract for Construction
Form HUD-92576-OHF Certificate for Need for Health Facility and Assurance of Enforcement of State Standards
Form HUD-93305-OHF Agreement and Certification
Form HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust
Form HUD-94001-OHF Healthcare Facility Note
Form HUD-94128-OHF Environmental Assessment and Compliance Findings for the Related Laws
Form HUD-92266-OHF Application for Transfer of Physical Assets
Form HUD-92476B-OHF Escrow Agreement for Proceeds from Partial Release of Collateral
Total burden requested under this ICR: 1069 79426 0  
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