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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 223
24 CFR 242
24 CFR 241
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
2-OHF
Waiver of Housing Directive
HUD-2-OHF Waiver Request.pdf
Yes
Yes
Fillable Fileable
Form
2205a
Mortgagor's Certification
HUD-2205a-OHF Mortgagor's Certificate of Actual Costs.pdf
Yes
Yes
Fillable Fileable
Form
2434
Mortgagee's Certification
HUD-2434-OHF Mortgagee's Certificate.pdf
Yes
Yes
Fillable Fileable
Form
2466-GP
GP Regulatory Agreement
HUD-2466GP-OHF Regulatory Agreement.pdf
Yes
Yes
Fillable Fileable
Form
41901
Assurance of Compliance
HUD-41901-OHF Assurance of Compliance.pdf
Yes
Yes
Fillable Fileable
Form
92421
MRF Agreement
HUD-92421 MRF Agreement .docx
Yes
Yes
Fillable Fileable
Form
92422
Financial and Statistical Data Report
HUD-92422 Finan and Stat Data Rept.xlsx
Yes
Yes
Fillable Fileable
Form
92451
Financial Record of Mortgage Loan Transaction
HUD-92451-Financial Record of Mortgage Loan Transaction.pdf
Yes
Yes
Fillable Fileable
Form
92453
Commitment to Insure Upon Completion
HUD-92453-nh-OHF Commit to Insure.pdf
Yes
Yes
Fillable Fileable
Form
92010
Equal Employment Opportunity Certification
HUD-92010-OHF EEO Cert.pdf
Yes
Yes
Fillable Fileable
Form
92330A
Contractor's Certificate of Actual Cost
HUD 92330-A-OHF Contractor's Cert of Actual Costs.pdf
Yes
Yes
Fillable Fileable
Form
92403.1
Mortgagor's and Architects Certification of Payment
HUD 92403.1-OHF Mortgagor's and Architects Cert of Payment.pdf
Yes
Yes
Fillable Fileable
Form
92403
Application for Insurance of Advance of Mortgage Proceeds
HUD 92403-OHF Application for Ins & Advance of Mortgage Proceeds.pdf
Yes
Yes
Fillable Fileable
Form
92432
Commitment of Insurance Advances
HUD 92432-OHF Commitment of Insurance Advances.pdf
Yes
Yes
Fillable Fileable
Form
92450-CA-OHF
Completion Assurance Agreement
HUD 92450-CA-OHF CA Completion Assurance Agreement.pdf
Yes
Yes
Fillable Fileable
Form
92452-A-OHF
Payment Bond
HUD 92452-A-OHF Payment Bond.pdf
Yes
Yes
Fillable Fileable
Form
HUD-2530
Previous Participation Certification
HUD-2530-OHF.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92452-OHF
Performance Bond-Dual Obligee
HUD 92452-OHF Performance Bond-Dual Obligee.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92464-OHF
Request for Approval of Advance of Escrow Funds
HUD 92464-OHF Request for Approval of Adavance of Escrow Funds.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-92466-OHF
Regulatory Agreement
HUD 92466-OHF Regulaotry Agreement.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
HUD-2576-hf-OHF
Certificate for Need for Health Facility and Assurance of Enforcement of State
HUD 2576-hf-OHF CON for Health Facility.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92580-OHF
Maximum Insurable Mortgage
HUD 92580-OHF Maximum Insurable Mortgage.pdf
Yes
Yes
Fillable Fileable
Form
HUD-3305-OHF
Agreement and Certification
HUD 3305-OHF Agreement & Certification.pdf
Yes
Yes
Fillable Fileable
Form
HUD-4128-OHF
Environmental Assessment & Compliance
HUD 4128-Environmental Assessment & Compliance.pdf
Yes
Yes
Fillable Fileable
Form
HUD-9250-OHF
Authorization for Replacement Reserve Funds
HUD 9250-OHF Authorization for Replacement Reserve Funds.pdf
Yes
Yes
Fillable Fileable
Form
HUD-91725-OHF
Mortgagor's Counsel Opinion
HUD 91725-Mortgagor's Counsel Opinion.docx
Yes
Yes
Fillable Fileable
Form
HUD-92013-HOSP
Applications for Mortgage Insurance
HUD 92013-HOSP-242 Application for Mortgage Insurance.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92023-OHF
Request for Final Endorsement of Credit
HUD 92023-OHF Request for Final Endorsement of Credit Instrument.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92415-OHF
Permission for Early Start Work
HUD 92415-OHF Permission for Early Start Work.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92441-OHF
Building Loan Agreement
HUD 92441-OHF Building Loan Agreement.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92448-OHF
Contractor's Requisition
HUD 92448-OHF Contractor's Requisition.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92457-OHF
Surveyor's Report
HUD 92457-OHF Surveyor's Report.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92476.1-OHF
Escrow Agreement
HUD 92476.1-Escrow Agreement.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,105
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,460
0
0
4,460
0
0
Annual IC Time Burden (Hours)
5,883
0
0
5,883
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.