Information Collection Request

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

ICR 201610-2502-002 · OMB 2502-0602 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD-94128-OHF Environmental Assessment and Compliance Findings Form Unchanged Available
Form HUD-94001-OHF Healthcare Facility Note Form Unchanged Available
Form HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust Form Unchanged Available
Form HUD-93305-OHF Agreement and Certification Form Unchanged Repair queued
Form HUD-92576-OHF Certificate for Need for Health Facility and Assurance of Enforcement of State Standards Form Unchanged Available
Form HUD-92554-OHF Supplementary Conditions of the Contract for Construction Form Unchanged Available
Form HUD-92479-OHF Off-Site Bond Form Unchanged Available
Form HUD-92466-OHF Regulatory Agreement - Borrower Form Unchanged Available
Form HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation Form Unchanged Available
Form HUD-92456-OHF Escrow Agreement for Incomplete Construction Form Unchanged Available
Form HUD-92455-OHF Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor Form Unchanged Available
Form HUD-92422-OHF Construction Contract Form Unchanged Available
Form HUD-92434-OHF Lender's Certificate Form Unchanged Available
Form HUD-92403-OHF Application for Insurance of Mortgage Proceeds Form Unchanged Available
Form HUD-92403A-OHF Borrower's and Architect's Certification Form Unchanged Available
Form HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Section 242 Form Unchanged Available
Form HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Section 242 Form Unchanged Available
Form HUD-92322-OHF Intercreditor Agreement Form Unchanged Available
Form HUD-92223-OHF Surplus Cash Note Form Unchanged Available
Form HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f) Form Unchanged Available
Form HUD-92117-OHF Borrower's Certification- Full or Partial Completion of Project Form Unchanged Available
Form HUD-92080-OHF Mortgage Record Change Form Unchanged Available
Form HUD-92070-OHF Lease Addendum Form Unchanged Available
Form HUD-9111-OHF Survey Instructions and Borrower's Certification Form Unchanged Available
Form HUD-91703-OHF Survey Instructions and Surveyor's Report Form Unchanged Available
Form HUD-91071-OHF Off Site Escrow Form Unchanged Available
Form HUD-91070-OHF Consolidated Certification Form Unchanged Available
Form HUD-9250-OHF Funds Authorizations Form Unchanged Available
Form HUD-91725-OHF Opinion of Borrower's Counsel Form Unchanged Available
Form HUD-92476-OHF Escrow for Deferred Work Form Unchanged Available
Form HUD-91725-INST-OHF HUD-91725-INST-OHF Instructions to Opinion Form and Instruction Unchanged Available
Form HUD-92448-OHF Contractor's Requisition Form Unchanged Available
Form HUD-92441-OHF Building Loan Agreement Form Unchanged Available
Form HUD-92023-OHF Request for Final Endorsement of Credit Form Unchanged Available
Form HUD-92013-OHF Application for Hospital Mortgage Insurance Form Unchanged Available
Form HUD-91725-OHF-CERT HUD-91725-CERT-OHF Exhibit A to Opinion Form Unchanged Available
Form HUD-92464-OHF Request for Approval of Advance of Escrow Funds Form Unchanged Available
Form HUD-92452-OHF Performance Bond Form Unchanged Available
Form HUD-92452A-OHF Payment Bond Form Unchanged Available
Form HUD-92422 Data Request 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 IDCollectionTypeStatusForm
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedEnvironmental Assessment and Compliance Findings
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedHealthcare Facility Note
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedSecurity Instrument/ Mortgage/Deed of Trust
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedAgreement and Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedCertificate for Need for Health Facility and Assurance of Enforcement of State Standards
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedSupplementary Conditions of the Contract for Construction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedOff-Site Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedRegulatory Agreement - Borrower
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedEscrow Agreement for Limited Rehabilitation
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedEscrow Agreement for Incomplete Construction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedRequest for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedConstruction Contract
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedLender's Certificate
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedApplication for Insurance of Mortgage Proceeds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedBorrower's and Architect's Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedBorrower's Certificate of Actual Cost - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedContractor's Certificate of Actual Cost - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedIntercreditor Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedSurplus Cash Note
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedBorrower's Certificate of Known Costs (Section 242/223f)
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedBorrower's Certification- Full or Partial Completion of Project
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedMortgage Record Change
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedLease Addendum
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedSurvey Instructions and Borrower's Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedSurvey Instructions and Surveyor's Report
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedOff Site Escrow
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedConsolidated Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedFunds Authorizations
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedOpinion of Borrower's Counsel
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedEscrow for Deferred Work
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form and Instruction UnchangedHUD-91725-INST-OHF Instructions to Opinion
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedContractor's Requisition
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedBuilding Loan Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedRequest for Final Endorsement of Credit
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedApplication for Hospital Mortgage Insurance
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedHUD-91725-CERT-OHF Exhibit A to Opinion
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedRequest for Approval of Advance of Escrow Funds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedPerformance Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedPayment Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form UnchangedData Request

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 08/31/2019 11/30/2019
496 0 496
73,047 0 73,047
0 0 0





Reginfo record details
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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 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  



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