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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 223
24 CFR 242
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD-92422
Data Request
HUD-92422 - Data Request.Final.xlsx
Yes
Yes
Fillable Fileable
Form
HUD-92452A-OHF
Payment Bond
HUD-92452A-OHF Payment Bond.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92452-OHF
Performance Bond
HUD-92452-OHF Performance Bond.Final.docx
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
HUD-91725-OHF-CERT
HUD-91725-CERT-OHF Exhibit A to Opinion
HUD-91725-CERT-OHF Exhibit A to Opinion.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92013-OHF
Application for Hospital Mortgage Insurance
HUD-92013-OHF Application for Hospital Mortgage Insurance.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92023-OHF
Request for Final Endorsement of Credit
HUD_92023-OHF.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 and Instruction
HUD-91725-INST-OHF
HUD-91725-INST-OHF Instructions to Opinion
HUD-91725-INST-OHF Instructions to Opinion.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92476-OHF
Escrow for Deferred Work
HUD-92476-OHF Escrow for Deferred Work.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-91725-OHF
Opinion of Borrower's Counsel
HUD-91725-OHF Opinion of Borrower's Counsel.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-9250-OHF
Funds Authorizations
HUD-9250-OHF Funds Authorizations.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-91070-OHF
Consolidated Certification
HUD-91070-OHF Consolidated Cert.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-91071-OHF
Off Site Escrow
HUD-91071-OHF Off Site Escrow.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-91703-OHF
Survey Instructions and Surveyor's Report
HUD-91073-OHF HUD Survey Instructions and Surveyor's Report.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-9111-OHF
Survey Instructions and Borrower's Certification
HUD-91111-OHF Survey Instructions and Borrower's Certification.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92070-OHF
Lease Addendum
HUD-92070-OHF Lease Addendum.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92080-OHF
Mortgage Record Change
HUD-92080-OHF Mortgage Record Change.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92117-OHF
Borrower's Certification- Full or Partial Completion of Project
HUD-92117-OHF Borrowers Certification of Full or Partial Completion.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92205-OHF
Borrower's Certificate of Known Costs (Section 242/223f)
HUD-92205-OHF Borrower's Cert of Known Costs.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92223-OHF
Surplus Cash Note
HUD-92223-OHF Surplus Cash Note.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92322-OHF
Intercreditor Agreement
HUD-92322-OHF Intercreditor Agreement.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92330A-OHF
Contractor's Certificate of Actual Cost - Hospitals/Section 242
HUD-92330A-OHF Contractor's Certificate of Actual Cost.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92330-OHF
Borrower's Certificate of Actual Cost - Hospitals/Section 242
HUD-92330-OHF Borrower's Certificate of Actual Cost.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92403A-OHF
Borrower's and Architect's Certification
HUD-92403A-OHF Borrower's and Architect's Certification.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92403-OHF
Application for Insurance of Mortgage Proceeds
HUD-92403-OHF Application for Insurance of Mortgage Proceeds.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92434-OHF
Lender's Certificate
HUD-92434-OHF Lenders Certification.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92422-OHF
Construction Contract
HUD-92442-OHF Construction Contract.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92455-OHF
Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor
HUD-92455-OHF Request for Endorsement of Credit Instrument Certificate.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92456-OHF
Escrow Agreement for Incomplete Construction
HUD-92456-OHF Escrow for Incomplete Construction.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92476A-OHF
Escrow Agreement for Limited Rehabilitation
HUD-92476A-OHF Escrow for Limited Rehab.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92466-OHF
Regulatory Agreement - Borrower
HUD-92466-OHF Regulatory Agreement.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92479-OHF
Off-Site Bond
HUD-92479-OHF Off Site Bond.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-92554-OHF
Supplementary Conditions of the Contract for Construction
HUD-92554-OHF Supplemental Conditions.Final.doc
Yes
Yes
Fillable Fileable
Form
HUD-92576-OHF
Certificate for Need for Health Facility and Assurance of Enforcement of State Standards
HUD-92576-OHF CON for Health Facility.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-93305-OHF
Agreement and Certification
HUD-93305-OHF Agreement and Certification.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-94000-OHF
Security Instrument/ Mortgage/Deed of Trust
HUD-94000-OHF Security Instrument.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-94001-OHF
Healthcare Facility Note
HUD-94001-OHF Note.Final.docx
Yes
Yes
Fillable Fileable
Form
HUD-94128-OHF
Environmental Assessment and Compliance Findings
HUD-94128-OHF Environmental Assessment and Compliance Findings.Final.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:
496
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
496
0
0
-3,558
0
4,054
Annual IC Time Burden (Hours)
73,047
0
0
-25,765
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.