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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Transactional Documents for Mortgagees and Contractors
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
24 CFR 200
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
90020-ORCF
Accounts Receivable Financing Certification
90020_ARFinCert-2.doc
Yes
Yes
Fillable Fileable
Form
92322-ORCF
Intercreditor Agreement
92322-ORCF.docx
Yes
Yes
Fillable Fileable
Form
91117-ORCF
Estoppel Certificate
91117_OperEstopp-2.doc
Yes
Yes
Fillable Fileable
Form
91725-ORCF
Guide for Opinion of Borrowers Counsel
91725_OpinionBorr-4c.docx
Yes
Yes
Fillable Fileable
Form
91725CERT-ORCF
Exhibit A to Opinion of Borrowers Counsel - Certification
91725CERT_OpinionCert-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
91725INST-ORCF
Instructions to Guide for Opinion of Borrowers and Operators Counsel
91725INST_OpinionInstr-2.doc
Yes
Yes
Printable Only
Form
92325-ORCF
Guide for Opinion of Operators Counsel, and Certification
92325-ORCF.docx
Yes
Yes
Fillable Fileable
Form
2-ORCF
Request for Waiver of Housing Directive
2_Waiver-2.doc
Yes
Yes
Fillable Fileable
Form
941-ORCF
Lenders FHA Number Request
941_FHANumReq-2.doc
Yes
Yes
Fillable Fileable
Form
2205a-ORCF
Borrowers Certificate of Actual Cost
2205A_BorrCertActlCost-2.doc
Yes
Yes
Fillable Fileable
Form
9839-ORCF
Management Certification -Residential Care Facility
9839_MgmtCer-4c.docx
Yes
Yes
Fillable Fileable
Form
90024-ORCF
Contact Sheet
90024_ContactSheet-2.doc
Yes
Yes
Fillable Fileable
Form
91110-ORCF
Subordination, Non-Disturbance and Attornment Agreement
91110_SNDA-OpLse-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
91111-ORCF
Survey Instructions and Borrowers Certification
91111_SurvInstOwnrCert-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
91112-ORCF
Refund Request for Overpayment of Firm Application Exam Fee
91112_OverpymtReq-2.doc
Yes
Yes
Fillable Fileable
Form
91116-ORCF
Addendum to Operating Lease
91116_OpLeaseAddend-4c.docx
Yes
Yes
Fillable Fileable
Form
91119-ORCF
Schedule of Facilities Owned, Operated or Managed
91119_SchedOfFacil-2.doc
Yes
Yes
Fillable Fileable
Form
91126-ORCF
Financial Statement Certification-Borrower
91126_FinStmtCert-2.doc
Yes
Yes
Fillable Fileable
Form
91708-ORCF
Agreement for Payment of Real Property Taxes
91708_AgrmtPayTax-2.doc
Yes
Yes
Fillable Fileable
Form
91710-ORCF
Residual Receipts Note (Nonprofit Borrowers)
91710_ResRecNote_NP-4c.docx
Yes
Yes
Fillable Fileable
Form
92070 - ORCF
Lease Addendum
92070_LeaseAddend-4c.docx
Yes
Yes
Fillable Fileable
Form
92223-ORCF
Surplus Cash Note
92223_SurpCashNote-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
92264a-ORCF
Maximum Insurable Loan
92264a_MaxInsLnCalc-4.xlsx
Yes
Yes
Fillable Fileable
Form
92323-ORCF
Operator Security Agreement
92323-ORCF.docx
Yes
Yes
Fillable Fileable
Form
92420-ORCF
Subordination Agreement Financing
92420_SubordAgrmt-4c.docx
Yes
Yes
Fillable Fileable
Form
92466-ORCF
Healthcare Regulatory Agreement Borrower
92466-ORCF.docx
Yes
Yes
Fillable Fileable
Form
92466A-ORCF
Healthcare Regulatory Agreement Operator
92466A-ORCF.docx
Yes
Yes
Fillable Fileable
Form
92576A-ORCF
Certificate of Need, (CON), for Health Facility and Assurance of Enforcement of State Standards
92576A_CON-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
94000-ORCF
Security Instrument/ Mortgage/Deed of Trust
94000-ORCF.docx
Yes
Yes
Fillable Fileable
Form
94001-ORCF
Healthcare - Facility Note
94001_HCFNote-4c.docx
Yes
Yes
Fillable Fileable
Form
9250-ORCF
Funds Authorization
9250_FundAuth-2.doc
Yes
Yes
Fillable Fileable
Form
9250A-ORCF
Borrower Certification and Request Detail
9250A_BorrCert-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
92117-ORCF
Borrowers Certification- Full or Partial Completion of Non-Critical Repairs
92117_OwnrCert-4c.doc
Yes
Yes
Fillable Fileable
Form
92228-ORCF
Model Form - Bill of Sale
92228_BillSale-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
92266-ORCF
Application for Transfer of Physical Assets
92266_TPA_appl-4.doc
Yes
Yes
Fillable Fileable
Form
92417-ORCF
Personal Financial and Credit Statement
92417_PersFinStmt-4.doc
Yes
Yes
Fillable Fileable
Form
93332-ORCF
Certification of Exigent Health & Safety (EH&S) Issues
93332_EHScert-4.doc
Yes
Yes
Fillable Fileable
Form
93333-ORCF
Certification of Physical Condition Compliance
93333_PhysCondCert-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
93479-ORCF
Monthly Report for Establishing Net Income
93479_SchedA-MthlyIncm-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
93480-ORCF
Schedule B - Schedule of Disbursements
93480_SchedB-Disbrsmts-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
93481-ORCF
Schedule C - Schedule of Accounts Payable
93481_SchedC-AP-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
93486-ORCF
Computation of Surplus Cash, Distributions and Residual Receipts
93486_CompSurpCash-2.doc
Yes
Yes
Fillable Fileable
Form
9442-ORCF
Memo Requesting Post-Commitment Early Start of Construction
9442_ErlyStrtRqstMemo-2.doc
Yes
Yes
Fillable Fileable
Form
91123-ORCF
Design Professionals Certification of Liability Insurance
91123_DsgnPLIcert-2.doc
Yes
Yes
Fillable Fileable
Form
91124-ORCF
Design Architects Certification
91124_DsgnArcCert-2.doc
Yes
Yes
Fillable Fileable
Form
91125-ORCF
Forecasted Staffing Schedule
91125_StaffSchedule-2.xls
Yes
Yes
Fillable Fileable
Form
91127-OCRF
Financial Statement Certification-General Contractor
91127_GC_FinStmtCert-2.doc
Yes
Yes
Fillable Fileable
Form
91129-ORCF
Lender Certification for New Construction, Cost Certifications
91129_NC-LndrCostCrt-4c.docx
Yes
Yes
Fillable Fileable
Form
92023-ORCF
Request for Final Endorsement of Credit Instrument
92023_RqstFinEndrs-2.doc
Yes
Yes
Fillable Fileable
Form
92408-ORCF
HUD Amendment to AIA Document B108
92408_B108-2.doc
Yes
Yes
Fillable Fileable
Form
92412-ORCF
Escrow Agreement for Working Capital
92412_WrkgCapEscrow-4c.docx
Yes
Yes
Fillable Fileable
Form
92415-ORCF
Request for Permission to Commence Construction
92415_RqstErlyStart-4c.doc
Yes
Yes
Fillable Fileable
Form
92441-ORCF
Building Loan Agreement
92441_BldgLnAgmt-2.doc
Yes
Yes
Fillable Fileable
Form
92441a-ORCF
Building Loan Agreement Supplemental
92441a_BldgLnAgmtSupp-2.doc
Yes
Yes
Fillable Fileable
Form
92442-ORCF
Construction Contract
92442_ConstContract-4c.docx
Yes
Yes
Fillable Fileable
Form
92452-ORCF
Performance Bond - Dual Obligee
92452_PrfmcBondOblg-2.doc
Yes
Yes
Fillable Fileable
Form
92452A-ORCF
Payment Bond
92452A_PymtBond-2.doc
Yes
Yes
Fillable Fileable
Form
92455-ORCF
Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor
92455_RqstEndrsmt-4c.docx
Yes
Yes
Fillable Fileable
Form
92456-ORCF
Escrow Agreement for Incomplete Construction
92456_EscrwIncmpltConst-2.doc
Yes
Yes
Fillable Fileable
Form
92479-ORCF
Off-Site Bond Dual Obligee
92479_OffsiteBond-2.doc
Yes
Yes
Fillable Fileable
Form
92554-ORCF
Supplementary Conditions of the Contract for Construction
92554_CnstContSupp-2.doc
Yes
Yes
Fillable Fileable
Form
93305-ORCF
Agreement and Certification
93305_Agmt-Cert-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
95379-ORCF
HUD Representatives Trip Report
95379_TripReport-2.doc
Yes
Yes
Fillable Fileable
Form
9443-ORCF
Minor Movable Equipment Escrow Agreement
9443_MinorMoveEscrow-4c.docx
Yes
Yes
Fillable Fileable
Form
91128-ORCF
Initial Operating Deficit Escrow Calculation
91128_IODcalc-4.xlsx
Yes
Yes
Fillable Fileable
Form
92414-ORCF
Escrow Agreement For Latent Defects
92414_LatentDfctEscrow-2.doc
Yes
Yes
Fillable Fileable
Form
92464-ORCF
Request for Approval of Advance/Release of Escrow Funds
92464_AdvFundsEscrow-2.doc
Yes
Yes
Fillable Fileable
Form
92476-ORCF
Escrow Agreement for Non-critical, Deferred Repairs
92476_NonCritEscrow-2.doc
Yes
Yes
Fillable Fileable
Form
92476B-ORCF
Escrow Agreement For Operating Deficits
92476B_OpDefEscrow-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9001-ORCF
Lender Narrative Section 232/223(a)7 Refinance
9001_LN-223a7-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9001a-ORCF
Addendum to Underwriting Narrative Project Capital Needs Assessment (PCNA)
9001a_LN-223a7-PCNA-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001b-ORCF
Addendum to Underwriting Narrative ALTA/ACSM Land Title Survey
9001b_LN-223a7-Srvy-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001c-ORCF
Addendum to Underwriting Narrative Environmental
9001c_LN-223a7-4128-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9001d-ORCF
Addendum to Underwriting Narrative Other Eligible Existing Indebtedness
9001d_LN-223a7-Debt-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001e-ORCF
Addendum to Underwriting Narrative Principal of the Borrower
9001e_LN-223a7-PrinMor-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001f-ORCF
Addendum to Underwriting Narrative Operator
9001f_LN-223a7-Oper-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001g-ORCF
Addendum to Underwriting Narrative Management Agent
9001g_LN-223a7-Agent-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001h-ORCF
Addendum to Underwriting Narrative Transfer of Physical Assets
9001h_LN-223a7-TPA-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9001i-ORCF
Addendum to Underwriting Narrative Accounts Receivable (AR) Financing
9001i_LN-223a7-ARFin-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9002-ORCF
Lender Narrative-Section 232/223(f) Refinance
9002_LN-223f-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9003-ORCF
Lender Narrative Section 232/241(a)
9003_LN-241a-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9004-ORCF
Lender Narrative New Construction Single Stage
9004_LN-NC-Single-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9005-ORCF
Lender Narrative New Construction 2 Stage, Initial Firm Submission
9005_LN-NC-Initial-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9005a-ORCF
Lender Narrative New Construction 2 Stage, Final Firm Submission
9005a_LN-NC-Final-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9006-ORCF
Lender Narrative Substantial Rehabilitation Single Stage
9006_LN-SR-Single-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9007-ORCF
Lender Narrative Substantial Rehabilitation 2 Stage Initial Firm Submission
9007_LN-SR-Initial-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9007a-OCRF
Lender Narrative Substantial Rehabilitation 2 Stage, Final Firm Submission
9007a_LN-SR-Final-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9008-ORCF
Lender Narrative Existing Buildings with New Construction Blended Rate Single Stage
9008_LN-Blended-Single-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
9009-ORCF
Lender Narrative - Fire Safety Equipment Installation, without Existing HUD-Insured Mortgage
9009_LN-232i-not-insr-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
9444-ORCF
Lender Narrative Supplement Cost Certification
9444_LN-CostCertSupp-2.docx
Yes
Yes
Fillable Fileable
Form and Instruction
90010-ORCF
Lender Narrative - Fire Safety Equipment Installation, with Existing HUD-Insured Mortgage
90010_LN-232i-insure-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90011-ORCF
Lender Narrative Operating Loss Loan
90011_LN-223d-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90025-ORCF
Lender Narrative Existing Buildings with New Construction Blended Rate 2 Stage, Initial Firm Submission
90025_LN-Blended-Initial-4c.docx
Yes
Yes
Fillable Fileable
Form and Instruction
90025a-ORCF
Lender Narrative Blended Rate 2 Stage, Final Firm Submission
90025a_LN-Blended-Final-4c.docx
Yes
Yes
Fillable Fileable
Form
92211-ORCF
Master Lease Addendum
92211_MstrLseAdden-4c.docx
Yes
Yes
Fillable Fileable
Form
92331-ORCF
Cross-Default Guaranty of Subtenants
92331_CrossDefGuarty-4c.doc
Yes
Yes
Fillable Fileable
Form
92333-ORCF
Master Lease Subordination, Non-Disturbance and Attornment Agreement
92333-ORCF.docx
Yes
Yes
Fillable Fileable
Form
92335-ORCF
Guide for Opinion of Master Tenants Counsel
92335_MT_Opinion-4c.docx
Yes
Yes
Fillable Fileable
Form
92337-ORCF
Healthcare Regulatory Agreement Master Tenant
92337-ORCF.docx
Yes
Yes
Fillable Fileable
Form
92339-ORCF
Master Tenant Estoppel Certificate
92339_ML_Estoppel-4c.doc
Yes
Yes
Fillable Fileable
Form
92340-ORCF
Master Tenant Security Agreement
92340.doc
Yes
Yes
Fillable Fileable
Form
9445-ORCF
Certification of Outstanding Obligations - Section 232/223(f)
9445_Cert-OutstdgOblig-2.doc
Yes
Yes
Fillable Fileable
Form
90012-ORCF
Consolidated Certifications Lender
90012_ConsCert-Lndr-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90013-ORCF
Consolidated Certifications Borrower
90013_ConsCert-Borr-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90014-ORCF
Consolidated Certifications Principal of Borrower
90014_ConsCert-PrncBorr-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90015-ORCF
Consolidated Certifications Operator
90015_ConsCert-Oper-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90016-ORCF
Consolidated Certifications - Parent of the Operator
90016_ConsCert-PrntOpe-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90017-ORCF
Consolidated Certifications Management Agent
90017_ConsCert-Agent-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90018-ORCF
Consolidated Certifications Contractor
90018_ConsCert-Cntrctr-4c.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90019-ORCF
Auditor Certification
90019_Cert-Auditor-2.doc
Yes
Yes
Fillable Fileable
Form and Instruction
90022-ORCF
Certification for Submission of Electronic Firm Application
90022_Cert-ElectSubmtl-4c.doc
Yes
Yes
Fillable Fileable
Form
91118-ORCF
Borrower's Certification - Completion of Critical Repairs
91118_OwnrCert-CritRpr-2.doc
Yes
Yes
Fillable Fileable
Form
91130-ORCF
Building Code Certification
91130_Cert-BldgCode-2.doc
Yes
Yes
Fillable Fileable
Form
92434-ORCF
Lenders Certificate
92434_Cert-Lender-4c.docx
Yes
Yes
Fillable Fileable
Form
92450-ORCF
Completion of Assurance
92450_CmpltnAssrnc-2.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Homeownership Promotion
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,568
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
85 %
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
20,322
0
0
0
0
20,322
Annual IC Time Burden (Hours)
44,221
0
-745
0
0
44,966
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Summary of Public Comments - 30 day FR
Summary of Public comments - 30 day FR-4-25-14.docx
04/27/2014
Summary of Comments 5-5-14
Summary of Public comments and HUD's Responses -PRA March 2014-5-5-14.docx
05/06/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.