Office of Hospital Facilities Transactional Forms for FHA Programs 242, 241, 223(f), 223(a)(7)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form	New	Available
Synopsis of Public Comments-13 April 2012.docx	Supplementary Document	Uploaded 2012-04-13	Available
Supporting Statement A (2) 2502-New-242 Program.docx	Supporting Statement A	Uploaded 2012-04-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199247	Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form	New

ICR Details

OMB Control No: 2502-0602	ICR Reference No: 201108-2502-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Office of Hospital Facilities Transactional Forms for FHA Programs 242, 241, 223(f), 223(a)(7)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/23/2012
	Date Received in OIRA: 02/02/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved
Responses	4,460	0	0
Time Burden (Hours)	5,883	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information is collected from OHF staff, mortgagees, mortgagors, contractors and agents to manage and monitor the application, procedure, project administration and initial/final endorsement of projects undertaken by Office of Hospital Facilities.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 34092	06/10/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 3787	01/25/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	2-OHF, HUD-4128-OHF, HUD-2530, HUD-92452-OHF, HUD-92466-OHF, HUD-2576-hf-OHF, HUD-92580-OHF, HUD-3305-OHF, HUD-9250-OHF, 2205a, 2434, 92421, 92453, 92432, HUD-92415-OHF, HUD-92464-OHF, HUD-92441-OHF, 2466-GP, 41901, 92403, 92450-CA-OHF, 92422, 92451, 92452-A-OHF, HUD-92448-OHF, HUD-92457-OHF, HUD-92476.1-OHF, HUD-91725-OHF, HUD-92013-HOSP, HUD-92023-OHF, 92010, 92330A, 92403.1	Waiver of Housing Directive ,   Mortgagor's Certification ,   Mortgagee's Certification ,   GP Regulatory Agreement ,   Assurance of Compliance ,   MRF Agreement ,   Financial and Statistical Data Report ,   Financial Record of Mortgage Loan Transaction ,   Commitment to Insure Upon Completion ,   Equal Employment Opportunity Certification ,   Contractor's Certificate of Actual Cost ,   Mortgagor's and Architects Certification of Payment ,   Application for Insurance of Advance of Mortgage Proceeds ,   Commitment of Insurance Advances ,   Completion Assurance Agreement ,   Payment Bond ,   Previous Participation Certification ,   Performance Bond-Dual Obligee ,   Surveyor's Report ,   Request for Approval of Advance of Escrow Funds ,   Regulatory Agreement ,   Certificate for Need for Health Facility and Assurance of Enforcement of State ,   Maximum Insurable Mortgage ,   Agreement and Certification ,   Environmental Assessment & Compliance ,   Authorization for Replacement Reserve Funds ,   Mortgagor's Counsel Opinion ,   Applications for Mortgage Insurance ,   Request for Final Endorsement of Credit ,   Permission for Early Start Work ,   Building Loan Agreement ,   Contractor's Requisition ,   Escrow Agreement

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,460	0	0	0	4,460	0
Annual Time Burden (Hours)	5,883	0	0	0	5,883	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Multifamily progams will no longer include burden hours for Healthcare programs in their collections. Therefore Healthcare programs is requesting a new collection to cover their program forms.

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Annual Cost to Federal Government: $264,712

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/02/2012

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