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 HUD-92476-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form	Unchanged	Available
83C (2502-0602).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2016-10-31	Available
2502-0602 Laws and Regs.zipx	Supplementary Document	Uploaded 2016-05-12	Available
2502-0602 Supporting Statement A [updated].docx	Supporting Statement A	Uploaded 2016-10-31	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	Unchanged

ICR Details

OMB Control No: 2502-0602	ICR Reference No: 201610-2502-002
Status: Historical Inactive	Previous ICR Reference No: 201509-2502-002
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved and continue	Conclusion Date: 04/10/2018
	Date Received in OIRA: 04/03/2018
Terms of Clearance: No recent justification for a non-substantive change has been included in this request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	08/31/2019	11/30/2019
Responses	496	0	496
Time Burden (Hours)	73,047	0	73,047
Cost Burden (Dollars)	0	0	0

---

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.

---

Authorizing Statute(s): US Code: 42 USC 3535(d) Name of Law: Mortgage Insurance for Hospitals
   US Code: 12 USC 1709,1710,1715b,1715n(f), 1715 Name of Law: Mortgage Insurance for Hospitals
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 61225	10/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 34368	05/31/2016
Did the Agency receive public comments on this ICR? No

---

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)	HUD-92452-OHF, HUD-92464-OHF, HUD-92441-OHF, HUD-92422, HUD-92452A-OHF, HUD-92448-OHF, HUD-91725-OHF-CERT, HUD-92013-OHF, HUD-92023-OHF, HUD-91725-INST-OHF, HUD-92330A-OHF, HUD-92554-OHF, HUD-92576-OHF, HUD-93305-OHF, HUD-94000-OHF, HUD-94001-OHF, HUD-9250-OHF, HUD-92476-OHF, HUD-91725-OHF, HUD-91070-OHF, HUD-91071-OHF, HUD-91703-OHF, HUD-92070-OHF, HUD-92403-OHF, HUD-92434-OHF, HUD-92422-OHF, HUD-92455-OHF, HUD-92456-OHF, HUD-92476A-OHF, HUD-92466-OHF, HUD-92479-OHF, HUD-94128-OHF, HUD-9111-OHF, HUD-92080-OHF, HUD-92117-OHF, HUD-92205-OHF, HUD-92223-OHF, HUD-92322-OHF, HUD-92330-OHF, HUD-92403A-OHF	Escrow for Deferred Work ,   Opinion of Borrower's Counsel ,   Funds Authorizations ,   Consolidated Certification ,   Off Site Escrow ,   Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor ,   Survey Instructions and Surveyor's Report ,   Survey Instructions and Borrower's Certification ,   Lease Addendum ,   Mortgage Record Change ,   Borrower's Certification- Full or Partial Completion of Project ,   Borrower's Certificate of Known Costs (Section 242/223f) ,   Surplus Cash Note ,   Intercreditor Agreement ,   Contractor's Certificate of Actual Cost - Hospitals/Section 242 ,   Borrower's Certificate of Actual Cost - Hospitals/Section 242 ,   Borrower's and Architect's Certification ,   Application for Insurance of Mortgage Proceeds ,   Lender's Certificate ,   Construction Contract ,   Escrow Agreement for Incomplete Construction ,   Escrow Agreement for Limited Rehabilitation ,   Regulatory Agreement - Borrower ,   Off-Site Bond ,   Supplementary Conditions of the Contract for Construction ,   Certificate for Need for Health Facility and Assurance of Enforcement of State Standards ,   Agreement and Certification ,   Security Instrument/ Mortgage/Deed of Trust ,   Healthcare Facility Note ,   Environmental Assessment and Compliance Findings ,   Data Request ,   Payment Bond ,   Performance Bond ,   Request for Approval of Advance of Escrow Funds ,   HUD-91725-CERT-OHF Exhibit A to Opinion ,   Application for Hospital Mortgage Insurance ,   Request for Final Endorsement of Credit ,   Building Loan Agreement ,   Contractor's Requisition ,   HUD-91725-INST-OHF Instructions to Opinion

---

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: This is a revision of a currently approved collection. The currently approved PRA package was based on an assumed annual volume of 15 Section 242 applications. It shows 73,047 burden hours for an annual cost of $5,531,419. Recently, OHF and the Office of General 15. This is a revision of a currently approved collection. The currently approved PRA package was based on an assumed annual volume of 15 Section 242 applications. It shows 73,047 burden hours for an annual cost of $5,531,419. Recently, OHF and the Office of General Counsel conducted a comprehensive review of the paperwork burden associated with the Section 242 hospital mortgage insurance program. As a result of that review, there were substantial changes to the documents included in this package and the number of respondents, frequency of response, burden hours per response, and hourly cost per response for many data collection items affecting various aspects of the program. Several documents previously included in 2502-0602 were determined unnecessary for inclusion or streamlined into consolidated versions. HUD believes that the changes lead to a much more realistic estimate of burden hours and a significantly improved collection of documents to be used by the public.

---

Annual Cost to Federal Government: $496,800

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 04/03/2018

---