Information Collection

Insured Healthcare Facilities 232 Loan Application

IC 192921 under ICR 201005-2502-002 · OMB 2502-0591.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-92013-NHICF Insured Healthcare Facilities 232 Loan Application	Form
HUD-92013-NHICF Application for Project Mortgage Insurance 92013nhi.pdf	Form
HUD-92264-HCF Health Care Facility Summary Appraisal Report 92264-hc.pdf	Form
HUD-92264-T Rent Estimates for Low/Moderate Income Units 92264-t.pdf	Form
NAHA s. 328.txt Section 328 of National Affordable Housing Act of 1990	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.8

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-92013-NHICF	Application for Project Mortgage Insurance	92013nhi.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92264-HCF	Health Care Facility Summary Appraisal Report	92264-hc.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92264-T	Rent Estimates for Low/Moderate Income Units	92264-t.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 610

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	610	610
Annual IC Time Burden (Hours)	53,410	53,410
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Section 328 of National Affordable Housing Act of 1990	NAHA s. 328.txt	05/18/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.