Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Transactional Documents for Mortgagees and Contractors Unchanged 26125 49226 0 Form 90020-ORCF Accounts Receivable Financing Certification
Form 92322-ORCF Intercreditor Agreement
Form 91117-ORCF Operator Estoppel Certificate
Form 91725-ORCF Guide for Opinion of Borrower’s Counsel
Form 91725CERT-ORCF Exhibit A to Opinion of Borrower’s Counsel - Certification
Form and Instruction 91725INST-ORCF Instructions to Guide for Opinion of Borrower’s and Operator’s Counsel
Form 92325-ORCF Guide for Opinion of Operator’s Counsel, and Certification
Form 2-ORCF Request for Waiver of Housing Directive
Form 941-ORCF Lender’s FHA Number Request
Form 2205a-ORCF Borrower’s Certificate of Actual Cost
Form 9839-ORCF Management Certification—Residential Care Facility
Form 90024-ORCF Contact Sheet
Form 91110-ORCF Subordination, Non-Disturbance and Attornment Agreement of Operating Lease (SNDA)
Form and Instruction 91111-ORCF Survey Instructions and Borrower'’s Certification
Form and Instruction 91112-ORCF Refund Request for Overpayment of Firm Application Exam Fee
Form 91116-ORCF Addendum to Operating Lease
Form 91126-ORCF Financial Statement Certification-Borrower
Form 91710-ORCF Residual Receipts Note (Nonprofit Borrowers)
Form 92070 - ORCF Lease Addendum
Form 92223-ORCF Surplus Cash Note
Form and Instruction 92264a-ORCF Maximum Insurable Loan Calculation
Form 92323-ORCF Operator Security Agreement
Form 92420-ORCF Subordination Agreement Financing
Form 92466-ORCF Healthcare Regulatory Agreement – Borrower
Form 92466A-ORCF Healthcare Regulatory Agreement – Operator
Form and Instruction 94000-ORCF Security Instrument/ Mortgage/Deed of Trust
Form 94001-ORCF Healthcare - Facility Note
Form 9250-ORCF Funds Authorization
Form and Instruction 92117-ORCF Borrower’s Certification- Full or Partial Completion of Non-Critical Repairs
Form 92228-ORCF Model Form - Bill of Sale
Form and Instruction 92266-ORCF Application for Transfer of Physical Assets
Form 92417-ORCF Personal Financial and Credit Statement
Form 93332-ORCF Certification of Exigent Health & Safety (EH&S) Issues
Form 93333-ORCF Certification of Physical Condition Compliance
Form and Instruction 93479-ORCF Monthly Report for Establishing Net Income
Form and Instruction 93480-ORCF Schedule B - Schedule of Disbursements
Form and Instruction 93481-ORCF Schedule C - Schedule of Accounts Payable
Form and Instruction 93486-ORCF Computation of Surplus Cash, Distributions and Residual Receipts
Form 9442-ORCF Memo Requesting Post-Commitment Early Start of Construction
Form 91123-ORCF Design Professional’s Certification of Liability Insurance
Form 91124-ORCF Design Architect’s Certification
Form 91125-ORCF Forecasted Staffing Schedule
Form 91127-OCRF Financial Statement Certification-General Contractor
Form 91129-ORCF Lender Certification for New Construction, Cost Certifications
Form 92023-ORCF Request for Final Endorsement of Credit Instrument
Form 92408-ORCF HUD Amendment to AIA Document B108
Form 92412-ORCF Escrow Agreement for Working Capital
Form 92415-ORCF Request for Permission to Commence Construction
Form 92441-ORCF Building Loan Agreement
Form 92441a-ORCF Building Loan Agreement Supplemental
Form 92442-ORCF Construction Contract
Form 92452-ORCF Performance Bond - Dual Obligee
Form 92452A-ORCF Payment Bond
Form 92455-ORCF Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor
Form 92456-ORCF Escrow Agreement for Incomplete Construction
Form 92479-ORCF Off-Site Bond – Dual Obligee
Form 92554-ORCF Supplementary Conditions of the Contract for Construction
Form 93305-ORCF Agreement and Certification
Form and Instruction 95379-ORCF HUD Representative’s Trip Report
Form 9443-ORCF Minor Movable Equipment Escrow Agreement
Form 91128-ORCF Initial Operating Deficit Escrow Calculation
Form 92414-ORCF Escrow Agreement For Latent Defects
Form 92464-ORCF Request for Approval of Advance/Release of Escrow Funds
Form 92476-ORCF Escrow Agreement for Non-critical, Deferred Repairs
Form 92476B-ORCF Escrow Agreement For Operating Deficits
Form and Instruction 9001-ORCF Lender Narrative – Section 232/223(a)7 Refinance
Form and Instruction 9002-ORCF Lender Narrative-Section 232/223(f) Refinance
Form and Instruction 9003-ORCF Lender Narrative – Section 232/241(a)
Form and Instruction 9004-ORCF Lender Narrative – New Construction Single Stage
Form and Instruction 9005-ORCF Lender Narrative – New Construction 2 Stage, Initial Firm Submission
Form and Instruction 9005a-ORCF Lender Narrative – New Construction 2 Stage, Final Firm Submission
Form and Instruction 9006-ORCF Lender Narrative – Substantial Rehabilitation Single Stage
Form and Instruction 9007-ORCF Lender Narrative – Substantial Rehabilitation 2 Stage Initial Firm Submission
Form and Instruction 9007a-OCRF Lender Narrative Substantial Rehabilitation 2 Stage, Final Firm Submission
Form and Instruction 9009-ORCF Lender Narrative - Fire Safety Equipment Installation, without Existing HUD-Insured Mortgage
Form and Instruction 9444-ORCF Lender Narrative Supplement – Cost Certification
Form and Instruction 90010-ORCF Lender Narrative - Fire Safety Equipment Installation, with Existing HUD-Insured Mortgage
Form and Instruction 90011-ORCF Lender Narrative – Operating Loss Loan
Form 92211-ORCF Master Lease Addendum
Form 92331-ORCF Cross-Default Guaranty of Subtenants
Form 92333-ORCF Master Lease Subordination, Non-Disturbance and Attornment Agreement
Form 92335-ORCF Guide for Opinion of Master Tenant’s Counsel
Form 92337-ORCF Healthcare Regulatory Agreement – Master Tenant
Form 92339-ORCF Master Tenant Estoppel Certificate
Form 92340-ORCF Master Tenant Security Agreement
Form 9445-ORCF Certification of Outstanding Obligations - Section 232/223(f)
Form 90012-ORCF Consolidated Certifications – Lender
Form and Instruction 90013-ORCF Consolidated Certifications – Borrower
Form and Instruction 90014-ORCF Consolidated Certifications – Principal of Borrower
Form and Instruction 90015-ORCF Consolidated Certifications – Operator
Form and Instruction 90016-ORCF Consolidated Certifications - Parent of the Operator
Form and Instruction 90017-ORCF Consolidated Certifications – Management Agent
Form and Instruction 90018-ORCF Consolidated Certifications – Contractor
Form and Instruction 90019-ORCF Auditor Certification
Form and Instruction 90022-ORCF Certification for Submission of Electronic Firm Application
Form 91118-ORCF Borrower's Certification - Completion of Critical Repairs
Form 91130-ORCF Building Code Certification
Form 92434-ORCF Lender’s Certificate
Form 92450-ORCF Completion of Assurance
Form and Instruction 90021-ORCF Previous Participation Certification – Controlling Participant
Form 90023-ORCF Early Commencement/Early Start – Borrower Certification
Form 92328-ORCF Contractor's and/or Mortgagor's Cost Breakdown
Form 92403-ORCF Application for Insurance of Advance of Mortgage Proceeds
Form 92437-ORCF Request for Construction Changes on Project Mortgages
Form 92448-ORCF Contractor's Requisition
Form 92485-ORCF Permission to Occupy
Form and Instruction 935.2D-ORCF Affirmative Fair Housing Marketing Plan – 232
Form and Instruction 92000-ORCF Appraisal Sockets
Form and Instruction 92334-ORCF Master Tenant Assignment of Leases and Rents
Form and Instruction 92336-ORCF Subordinate Cross-Default Guaranty of Subtenants
Form 92341-ORCF Termination and Release of Cross-Default Guaranty of Subtenants
Form 92342-ORCF Amendment to HUD Master Lease (Partial Termination and Release)
Form and Instruction 92343-ORCF Limited Guaranty and Security Agreement
Form 92071-ORCF Management Agreement Addendum
Form 92324-ORCF Operator Assignment of Leases and Rents
Form 92330-ORCF Mortgagor's Certificate of Actual Cost
Form 92330A-ORCF Contractor's Certificate of Actual Cost
Form 92435-ORCF Lender's Certification - Insurance Coverage
Form 92468-ORCF Healthcare Regulatory Agreement – Fire Safety
Form 94000B-ORCF Rider to Security Instrument - LIHTC
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - AK)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - AL)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - AR)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - AZ)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - CA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - CNM)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - CO)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - DE)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - FL)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - GA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - GU)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - HI)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - IA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - ID)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - IL)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - IN)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - KS)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - LA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MD)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - ME)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MI)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MN)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MO)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MS)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - MT)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NC)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NE)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NH)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NJ)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NM)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NV)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - NY)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - OH)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - OK)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - OR)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - PA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - RI)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - SC)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - SD)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - TN)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states -TX)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - UT)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - VA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - VI)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - VT)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - WA)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - WI)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - WV)
Form 94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states - WY)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - AK)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - LA)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - ME)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - OR)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - VT)
Form 94001-ORCF-RI Healthcare Facility Note - Rider (various states - WA)
Form 91071-ORCF Escrow Agreement for Off-site Facilities
Form 92476C-ORCF Escrow Agreement for Debt Service Reserves
Form 92327-ORCF Consolidated Operator Opinion [Single State]
Form 1044-D-ORCF Multifamily Insurance Branch Claim
Form 2747-ORCF Application for Insurance Benefits
Form and Instruction 2537-ORCF Mortgagee's Application for Partial Settlement
Form and Instruction 9807-ORCF Insurance Termination Request
Form and Instruction 90029-ORCF 232 Healthcare Portal Access
Form and Instruction 90030-ORCF Lender Narrative, Requests to Release or Modify Original Loan Collateral
Form and Instruction 90031-ORCF Lender Narrative, Accounts Receivable
Form 90032-ORCF Lender Narrative, Loan Modification
Form 90033-ORCF Loan Modification Lender Certification
Form and Instruction 92080-ORCF Mortgage Record Change - 232
Form and Instruction 92266-ORCF Application for Change of Ownership
Form and Instruction 92266A-ORCF Lender Narrative, Change of Operator/Lessee
Form and Instruction 92266B-ORCF Lender Narrative, Change of Management Agent
Form and Instruction 93334-ORCF Servicer's Notification to HUD of Risks to Healthcare Project
Form 93335-ORCF Operator's Notification to HUD of Threats to Permits and Approvals
Form and Instruction 91116A-ORCF Supplemental Addendum to Operating Lease
Form and Instruction 92211A-ORCF Supplemental Master Lease Addendum
Form 92323A-ORCF Supplemental Operator Security Agreement
Form 92324A-ORCF Supplemental Operator Assignment of Leases and Rents
Form 92333A-ORCF Supplemental Master Lease SNDA
Form 92334A-ORCF Supplemental Master Tenant Assignment of Leases and Rents
Form 92338A-ORCF Supplemental Healthcare Regulatory Agreement – Master Tenant
Form 92340A-ORCF Supplemental Master Tenant Security Agreement
Form 92434A-ORCF Supplemental Lender's Certificate for 241(a)
Form 92441B-ORCF Supplemental Building Loan Agreement for 241(a)
Form 92467-ORCF Supplemental Healthcare Regulatory Agreement – Borrower
Form 92467A-ORCF Supplemental Healthcare Regulatory Agreement – Operator
Form 94000A-ORCF Supplemental Security Instrument/Mortgage/Deed of Trust
Form 94001A-ORCF Supplemental Healthcare Facility Note
Total burden requested under this ICR: 26125 49226 0  
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