Information Collection

Insured Healthcare Facility Project Applications and Construction Prior to Initial Endorsement

IC 193364 under ICR 201006-2502-012 · OMB 2502-0593.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-92013-NHICF Insured Healthcare Facility Project Applications and Construction Prior to Initial Endorsement	Form and Instruction
HUD-92013-NHICF Application for Mortgage Insurance 92013nhicf.pdf	Form and Instruction
HUD-92264-HCF Health Care Facility Summary Appraisal Report 92264-hcf.pdf	Form and Instruction
HUD-92264-T Rent Estimate for Low or Moderate Income Units in Non-Se 92264-t.pdf	Form and Instruction

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:

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 and Instruction	HUD-92013-NHICF	Application for Mortgage Insurance	92013nhicf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-92264-HCF	Health Care Facility Summary Appraisal Report	92264-hcf.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-92264-T	Rent Estimate for Low or Moderate Income Units in Non-Section 8 Projects Involving Tax Exempt Financing	92264-t.pdf	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 610

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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
No associated records found

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