Information Collection Request

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

ICR 201212-2502-002 · OMB 2502-0602 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD-92330-OHF Mortgagor's Certificate of Actual Cost Form Modified Available
Form HUD-92447-OHF Property Insurance Requirements Form Modified Available
Form HUD-92476.1-OHF Escrow Agreement Form Modified Repair queued
Form HUD-92457-OHF Surveyor's Report Form Modified Available
Form HUD-92448-OHF Contractor's Requisition Form Modified Available
Form HUD-92441-OHF Building Loan Agreement Form Modified Available
Form HUD-92415-OHF Permission for Early Start Work Form Modified Available
Form HUD-92023-OHF Request for Final Endorsement of Credit Form Modified Available
Form HUD-92013-HOSP Applications for Mortgage Insurance Form Modified Available
Form HUD-91725-OHF Mortgagor's Counsel Opinion Form Modified Available
Form HUD-9250-OHF Authorization for Replacement Reserve Funds Form Modified Available
Form HUD-4128-OHF Environmental Assessment & Compliance Form Modified Available
Form HUD-3305-OHF Agreement and Certification Form Modified Repair queued
Form HUD-92580-OHF Maximum Insurable Mortgage Form Modified Available
Form HUD-2576-hf-OHF Certificate for Need for Health Facility and Assurance of Enforcement of State Form and Instruction Modified Available
Form HUD-92466-OHF Regulatory Agreement Form and Instruction Modified Available
Form HUD-92464-OHF Request for Approval of Advance of Escrow Funds Form Modified Available
Form HUD-2530 Previous Participation Certification Form Modified Available
Form 92452-A-OHF Payment Bond Form Modified Available
Form 92450-CA-OHF Completion Assurance Agreement Form Modified Available
Form 92432 Commitment of Insurance Advances Form Modified Available
Form 92403 Application for Insurance of Advance of Mortgage Proceeds Form Modified Available
Form 92403.1 Mortgagor's and Architects Certification of Payment Form Modified Available
Form 92330A Contractor's Certificate of Actual Cost Form Modified Available
Form 92010 Equal Employment Opportunity Certification Form Modified Available
Form 92453 Commitment to Insure Upon Completion Form Modified Available
Form 92451 Financial Record of Mortgage Loan Transaction Form Modified Available
Form 92422 Financial and Statistical Data Report Form Modified Available
Form 92421 MRF Agreement Form Modified Available
Form 41901 Assurance of Compliance Form Modified Available
Form 2466-GP GP Regulatory Agreement Form Modified Available
Form 2434 Mortgagee's Certification Form Modified Available
Form 2205a Mortgagor's Certification Form Modified Available
Form 2-OHF Waiver of Housing Directive Form Modified Available
Form HUD-92452-OHF Performance Bond-Dual Obligee Form Modified Available
Supporting_Statement_A_2502-0602 - 5.docx Supporting Statement A Uploaded 2013-05-02 Available
242 Hospitals Final Rule.pdf Supplementary Document Uploaded 2013-02-06 Available
FHA- Sec 242-28 Nov 2007.pdf Supplementary Document Uploaded 2012-12-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMortgagor's Certificate of Actual Cost
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedProperty Insurance Requirements
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedSurveyor's Report
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedContractor's Requisition
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBuilding Loan Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPermission for Early Start Work
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRequest for Final Endorsement of Credit
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedApplications for Mortgage Insurance
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMortgagor's Counsel Opinion
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedAuthorization for Replacement Reserve Funds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEnvironmental Assessment & Compliance
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedAgreement and Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMaximum Insurable Mortgage
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form and Instruction ModifiedCertificate for Need for Health Facility and Assurance of Enforcement of State
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form and Instruction ModifiedRegulatory Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRequest for Approval of Advance of Escrow Funds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPrevious Participation Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPayment Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedCompletion Assurance Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedCommitment of Insurance Advances
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedApplication for Insurance of Advance of Mortgage Proceeds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMortgagor's and Architects Certification of Payment
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedContractor's Certificate of Actual Cost
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEqual Employment Opportunity Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedCommitment to Insure Upon Completion
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedFinancial Record of Mortgage Loan Transaction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedFinancial and Statistical Data Report
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMRF Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedAssurance of Compliance
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedGP Regulatory Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMortgagee's Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedMortgagor's Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedWaiver of Housing Directive
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPerformance Bond-Dual Obligee

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 05/31/2015
4,054 0 4,460
98,812 0 5,883
0 0 0





Reginfo record details
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) HUD-92330-OHF, HUD-92447-OHF, 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, 2466-GP, HUD-92441-OHF, 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 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

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 4,054 4,460 0 -120 -286 0
Annual Time Burden (Hours) 98,812 5,883 0 92,139 790 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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