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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:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 241
24 CFR 242
24 CFR 223
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.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.pdf
Yes
Yes
Fillable Fileable
Form
41901
Assurance of Compliance
HUD-41901-OHF.pdf
Yes
Yes
Fillable Fileable
Form
92421
MRF Agreement
92421-OHF.docx
Yes
Yes
Fillable Fileable
Form
92422
Financial and Statistical Data Report
92422-OHF.xlsx
Yes
Yes
Fillable Fileable
Form
92451
Financial Record of Mortgage Loan Transaction
HUD-92451-OHF.pdf
Yes
Yes
Fillable Fileable
Form
92453
Commitment to Insure Upon Completion
HUD-92453NH-OHF.pdf
Yes
Yes
Fillable Fileable
Form
92010
Equal Employment Opportunity Certification
HUD-92010-OHF.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
92403.1-OHF.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.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.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.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.pdf
Yes
Yes
Fillable Fileable
Form
HUD-3305-OHF
Agreement and Certification
HUD 3305-OHF.pdf
Yes
Yes
Fillable Fileable
Form
HUD-4128-OHF
Environmental Assessment & Compliance
HUD-4128-OHF.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.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92023-OHF
Request for Final Endorsement of Credit
HUD_92023-OHF.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-OHF.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92447-OHF
Property Insurance Requirements
HUD-92447-OHF.pdf
Yes
Yes
Fillable Fileable
Form
HUD-92330-OHF
Mortgagor's Certificate of Actual Cost
HUD-92330-OHF.pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
Screenshots .zipx
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:
465
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
4,054
0
0
0
0
4,054
Annual IC Time Burden (Hours)
98,812
0
0
0
0
98,812
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.