Information Collection

Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)

IC 199247 under ICR 201108-2502-002 · OMB 2502-0602.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0602 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form
2-OHF Waiver of Housing Directive HUD-2-OHF Waiver Request.pdf	Form
2205a Mortgagor's Certification HUD-2205a-OHF Mortgagor's Certificate of Actual Costs.pdf	Form
2434 Mortgagee's Certification HUD-2434-OHF Mortgagee's Certificate.pdf	Form
2466-GP GP Regulatory Agreement HUD-2466GP-OHF Regulatory Agreement.pdf	Form
41901 Assurance of Compliance HUD-41901-OHF Assurance of Compliance.pdf	Form
92421 MRF Agreement HUD-92421 MRF Agreement .docx	Form
92422 Financial and Statistical Data Report HUD-92422 Finan and Stat Data Rept.xlsx	Form
92451 Financial Record of Mortgage Loan Transaction HUD-92451-Financial Record of Mortgage Loan Transaction.pdf	Form
92453 Commitment to Insure Upon Completion HUD-92453-nh-OHF Commit to Insure.pdf	Form
92010 Equal Employment Opportunity Certification HUD-92010-OHF EEO Cert.pdf	Form
92330A Contractor's Certificate of Actual Cost HUD 92330-A-OHF Contractor's Cert of Actual Costs.pdf	Form
92403.1 Mortgagor's and Architects Certification of Payment HUD 92403.1-OHF Mortgagor's and Architects Cert of Payment.pdf	Form
92403 Application for Insurance of Advance of Mortgage Proceed HUD 92403-OHF Application for Ins & Advance of Mortgage Proceeds.pdf	Form
92432 Commitment of Insurance Advances HUD 92432-OHF Commitment of Insurance Advances.pdf	Form
92450-CA-OHF Completion Assurance Agreement HUD 92450-CA-OHF CA Completion Assurance Agreement.pdf	Form
92452-A-OHF Payment Bond HUD 92452-A-OHF Payment Bond.pdf	Form
HUD-2530 Previous Participation Certification HUD-2530-OHF.pdf	Form
HUD-92452-OHF Performance Bond-Dual Obligee HUD 92452-OHF Performance Bond-Dual Obligee.pdf	Form
HUD-92464-OHF Request for Approval of Advance of Escrow Funds HUD 92464-OHF Request for Approval of Adavance of Escrow Funds.pdf	Form
HUD-92466-OHF Regulatory Agreement HUD 92466-OHF Regulaotry Agreement.pdf	Form and Instruction
HUD-2576-hf-OHF Certificate for Need for Health Facility and Assurance o HUD 2576-hf-OHF CON for Health Facility.pdf	Form and Instruction
HUD-92580-OHF Maximum Insurable Mortgage HUD 92580-OHF Maximum Insurable Mortgage.pdf	Form
HUD-3305-OHF Agreement and Certification HUD 3305-OHF Agreement & Certification.pdf	Form
HUD-4128-OHF Environmental Assessment & Compliance HUD 4128-Environmental Assessment & Compliance.pdf	Form
HUD-9250-OHF Authorization for Replacement Reserve Funds HUD 9250-OHF Authorization for Replacement Reserve Funds.pdf	Form
HUD-91725-OHF Mortgagor's Counsel Opinion HUD 91725-Mortgagor's Counsel Opinion.docx	Form
HUD-92013-HOSP Applications for Mortgage Insurance HUD 92013-HOSP-242 Application for Mortgage Insurance.pdf	Form
HUD-92023-OHF Request for Final Endorsement of Credit HUD 92023-OHF Request for Final Endorsement of Credit Instrument.pdf	Form
HUD-92415-OHF Permission for Early Start Work HUD 92415-OHF Permission for Early Start Work.pdf	Form
HUD-92441-OHF Building Loan Agreement HUD 92441-OHF Building Loan Agreement.pdf	Form
HUD-92448-OHF Contractor's Requisition HUD 92448-OHF Contractor's Requisition.pdf	Form
HUD-92457-OHF Surveyor's Report HUD 92457-OHF Surveyor's Report.pdf	Form
HUD-92476.1-OHF Escrow Agreement HUD 92476.1-Escrow Agreement.pdf	Form

Information Collection (IC) Details

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: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 223 24 CFR 242 24 CFR 241

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	2-OHF	Waiver of Housing Directive	HUD-2-OHF Waiver Request.pdf	Yes	Yes	Fillable Fileable
Form	2205a	Mortgagor's Certification	HUD-2205a-OHF Mortgagor's Certificate of Actual Costs.pdf	Yes	Yes	Fillable Fileable
Form	2434	Mortgagee's Certification	HUD-2434-OHF Mortgagee's Certificate.pdf	Yes	Yes	Fillable Fileable
Form	2466-GP	GP Regulatory Agreement	HUD-2466GP-OHF Regulatory Agreement.pdf	Yes	Yes	Fillable Fileable
Form	41901	Assurance of Compliance	HUD-41901-OHF Assurance of Compliance.pdf	Yes	Yes	Fillable Fileable
Form	92421	MRF Agreement	HUD-92421 MRF Agreement .docx	Yes	Yes	Fillable Fileable
Form	92422	Financial and Statistical Data Report	HUD-92422 Finan and Stat Data Rept.xlsx	Yes	Yes	Fillable Fileable
Form	92451	Financial Record of Mortgage Loan Transaction	HUD-92451-Financial Record of Mortgage Loan Transaction.pdf	Yes	Yes	Fillable Fileable
Form	92453	Commitment to Insure Upon Completion	HUD-92453-nh-OHF Commit to Insure.pdf	Yes	Yes	Fillable Fileable
Form	92010	Equal Employment Opportunity Certification	HUD-92010-OHF EEO Cert.pdf	Yes	Yes	Fillable Fileable
Form	92330A	Contractor's Certificate of Actual Cost	HUD 92330-A-OHF Contractor's Cert of Actual Costs.pdf	Yes	Yes	Fillable Fileable
Form	92403.1	Mortgagor's and Architects Certification of Payment	HUD 92403.1-OHF Mortgagor's and Architects Cert of Payment.pdf	Yes	Yes	Fillable Fileable
Form	92403	Application for Insurance of Advance of Mortgage Proceeds	HUD 92403-OHF Application for Ins & Advance of Mortgage Proceeds.pdf	Yes	Yes	Fillable Fileable
Form	92432	Commitment of Insurance Advances	HUD 92432-OHF Commitment of Insurance Advances.pdf	Yes	Yes	Fillable Fileable
Form	92450-CA-OHF	Completion Assurance Agreement	HUD 92450-CA-OHF CA Completion Assurance Agreement.pdf	Yes	Yes	Fillable Fileable
Form	92452-A-OHF	Payment Bond	HUD 92452-A-OHF Payment Bond.pdf	Yes	Yes	Fillable Fileable
Form	HUD-2530	Previous Participation Certification	HUD-2530-OHF.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92452-OHF	Performance Bond-Dual Obligee	HUD 92452-OHF Performance Bond-Dual Obligee.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92457-OHF	Surveyor's Report	HUD 92457-OHF Surveyor's Report.pdf	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 and Instruction	HUD-92466-OHF	Regulatory Agreement	HUD 92466-OHF Regulaotry Agreement.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	HUD-2576-hf-OHF	Certificate for Need for Health Facility and Assurance of Enforcement of State	HUD 2576-hf-OHF CON for Health Facility.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92580-OHF	Maximum Insurable Mortgage	HUD 92580-OHF Maximum Insurable Mortgage.pdf	Yes	Yes	Fillable Fileable
Form	HUD-3305-OHF	Agreement and Certification	HUD 3305-OHF Agreement & Certification.pdf	Yes	Yes	Fillable Fileable
Form	HUD-4128-OHF	Environmental Assessment & Compliance	HUD 4128-Environmental Assessment & Compliance.pdf	Yes	Yes	Fillable Fileable
Form	HUD-9250-OHF	Authorization for Replacement Reserve Funds	HUD 9250-OHF Authorization for Replacement Reserve Funds.pdf	Yes	Yes	Fillable Fileable
Form	HUD-91725-OHF	Mortgagor's Counsel Opinion	HUD 91725-Mortgagor's Counsel Opinion.docx	Yes	Yes	Fillable Fileable
Form	HUD-92013-HOSP	Applications for Mortgage Insurance	HUD 92013-HOSP-242 Application for Mortgage Insurance.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92023-OHF	Request for Final Endorsement of Credit	HUD 92023-OHF Request for Final Endorsement of Credit Instrument.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92415-OHF	Permission for Early Start Work	HUD 92415-OHF Permission for Early Start Work.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	HUD-92476.1-OHF	Escrow Agreement	HUD 92476.1-Escrow Agreement.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: 1,105

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,460	4,460
Annual IC Time Burden (Hours)	5,883	5,883
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.