Information Collection

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

IC 199247 under ICR 201610-2502-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 HUD-92476-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form
HUD-92422 Data Request HUD-92422 - Data Request.Final.xlsx	Form
HUD-92452A-OHF Payment Bond HUD-92452A-OHF Payment Bond.Final.docx	Form
HUD-92452-OHF Performance Bond HUD-92452-OHF Performance Bond.Final.docx	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-91725-OHF-CERT HUD-91725-CERT-OHF Exhibit A to Opinion HUD-91725-CERT-OHF Exhibit A to Opinion.Final.docx	Form
HUD-92013-OHF Application for Hospital Mortgage Insurance HUD-92013-OHF Application for Hospital Mortgage Insurance.Final.docx	Form
HUD-92023-OHF Request for Final Endorsement of Credit HUD_92023-OHF.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-91725-INST-OHF HUD-91725-INST-OHF Instructions to Opinion HUD-91725-INST-OHF Instructions to Opinion.Final.docx	Form and Instruction
HUD-92476-OHF Escrow for Deferred Work HUD-92476-OHF Escrow for Deferred Work.Final.docx	Form
HUD-91725-OHF Opinion of Borrower's Counsel HUD-91725-OHF Opinion of Borrower's Counsel.Final.docx	Form
HUD-9250-OHF Funds Authorizations HUD-9250-OHF Funds Authorizations.Final.docx	Form
HUD-91070-OHF Consolidated Certification HUD-91070-OHF Consolidated Cert.Final.docx	Form
HUD-91071-OHF Off Site Escrow HUD-91071-OHF Off Site Escrow.Final.docx	Form
HUD-91703-OHF Survey Instructions and Surveyor's Report HUD-91073-OHF HUD Survey Instructions and Surveyor's Report.Final.docx	Form
HUD-9111-OHF Survey Instructions and Borrower's Certification HUD-91111-OHF Survey Instructions and Borrower's Certification.Final.docx	Form
HUD-92070-OHF Lease Addendum HUD-92070-OHF Lease Addendum.Final.docx	Form
HUD-92080-OHF Mortgage Record Change HUD-92080-OHF Mortgage Record Change.Final.docx	Form
HUD-92117-OHF Borrower's Certification- Full or Partial Completion of HUD-92117-OHF Borrowers Certification of Full or Partial Completion.Final.docx	Form
HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f) HUD-92205-OHF Borrower's Cert of Known Costs.Final.docx	Form
HUD-92223-OHF Surplus Cash Note HUD-92223-OHF Surplus Cash Note.Final.docx	Form
HUD-92322-OHF Intercreditor Agreement HUD-92322-OHF Intercreditor Agreement.Final.docx	Form
HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Sect HUD-92330A-OHF Contractor's Certificate of Actual Cost.Final.docx	Form
HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Sectio HUD-92330-OHF Borrower's Certificate of Actual Cost.Final.docx	Form
HUD-92403A-OHF Borrower's and Architect's Certification HUD-92403A-OHF Borrower's and Architect's Certification.Final.docx	Form
HUD-92403-OHF Application for Insurance of Mortgage Proceeds HUD-92403-OHF Application for Insurance of Mortgage Proceeds.Final.docx	Form
HUD-92434-OHF Lender's Certificate HUD-92434-OHF Lenders Certification.Final.docx	Form
HUD-92422-OHF Construction Contract HUD-92442-OHF Construction Contract.Final.docx	Form
HUD-92455-OHF Request for Endorsement of Credit Instrument & Certifica HUD-92455-OHF Request for Endorsement of Credit Instrument Certificate.Final.docx	Form
HUD-92456-OHF Escrow Agreement for Incomplete Construction HUD-92456-OHF Escrow for Incomplete Construction.Final.docx	Form
HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation HUD-92476A-OHF Escrow for Limited Rehab.Final.docx	Form
HUD-92466-OHF Regulatory Agreement - Borrower HUD-92466-OHF Regulatory Agreement.Final.docx	Form
HUD-92479-OHF Off-Site Bond HUD-92479-OHF Off Site Bond.Final.docx	Form
HUD-92554-OHF Supplementary Conditions of the Contract for Constructio HUD-92554-OHF Supplemental Conditions.Final.doc	Form
HUD-92576-OHF Certificate for Need for Health Facility and Assurance o HUD-92576-OHF CON for Health Facility.Final.docx	Form
HUD-93305-OHF Agreement and Certification HUD-93305-OHF Agreement and Certification.Final.docx	Form
HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust HUD-94000-OHF Security Instrument.Final.docx	Form
HUD-94001-OHF Healthcare Facility Note HUD-94001-OHF Note.Final.docx	Form
HUD-94128-OHF Environmental Assessment and Compliance Findings HUD-94128-OHF Environmental Assessment and Compliance Findings.Final.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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

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

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	HUD-92476-OHF	Escrow for Deferred Work	HUD-92476-OHF Escrow for Deferred Work.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-91725-OHF	Opinion of Borrower's Counsel	HUD-91725-OHF Opinion of Borrower's Counsel.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-9250-OHF	Funds Authorizations	HUD-9250-OHF Funds Authorizations.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-91070-OHF	Consolidated Certification	HUD-91070-OHF Consolidated Cert.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-91071-OHF	Off Site Escrow	HUD-91071-OHF Off Site Escrow.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92455-OHF	Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor	HUD-92455-OHF Request for Endorsement of Credit Instrument Certificate.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-91703-OHF	Survey Instructions and Surveyor's Report	HUD-91073-OHF HUD Survey Instructions and Surveyor's Report.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-9111-OHF	Survey Instructions and Borrower's Certification	HUD-91111-OHF Survey Instructions and Borrower's Certification.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92070-OHF	Lease Addendum	HUD-92070-OHF Lease Addendum.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92080-OHF	Mortgage Record Change	HUD-92080-OHF Mortgage Record Change.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92117-OHF	Borrower's Certification- Full or Partial Completion of Project	HUD-92117-OHF Borrowers Certification of Full or Partial Completion.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92205-OHF	Borrower's Certificate of Known Costs (Section 242/223f)	HUD-92205-OHF Borrower's Cert of Known Costs.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92223-OHF	Surplus Cash Note	HUD-92223-OHF Surplus Cash Note.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92322-OHF	Intercreditor Agreement	HUD-92322-OHF Intercreditor Agreement.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92330A-OHF	Contractor's Certificate of Actual Cost - Hospitals/Section 242	HUD-92330A-OHF Contractor's Certificate of Actual Cost.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92330-OHF	Borrower's Certificate of Actual Cost - Hospitals/Section 242	HUD-92330-OHF Borrower's Certificate of Actual Cost.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92403A-OHF	Borrower's and Architect's Certification	HUD-92403A-OHF Borrower's and Architect's Certification.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92403-OHF	Application for Insurance of Mortgage Proceeds	HUD-92403-OHF Application for Insurance of Mortgage Proceeds.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92434-OHF	Lender's Certificate	HUD-92434-OHF Lenders Certification.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92422-OHF	Construction Contract	HUD-92442-OHF Construction Contract.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92456-OHF	Escrow Agreement for Incomplete Construction	HUD-92456-OHF Escrow for Incomplete Construction.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92476A-OHF	Escrow Agreement for Limited Rehabilitation	HUD-92476A-OHF Escrow for Limited Rehab.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92466-OHF	Regulatory Agreement - Borrower	HUD-92466-OHF Regulatory Agreement.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92479-OHF	Off-Site Bond	HUD-92479-OHF Off Site Bond.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92554-OHF	Supplementary Conditions of the Contract for Construction	HUD-92554-OHF Supplemental Conditions.Final.doc	Yes	Yes	Fillable Fileable
Form	HUD-92576-OHF	Certificate for Need for Health Facility and Assurance of Enforcement of State Standards	HUD-92576-OHF CON for Health Facility.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-93305-OHF	Agreement and Certification	HUD-93305-OHF Agreement and Certification.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-94000-OHF	Security Instrument/ Mortgage/Deed of Trust	HUD-94000-OHF Security Instrument.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-94001-OHF	Healthcare Facility Note	HUD-94001-OHF Note.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-94128-OHF	Environmental Assessment and Compliance Findings	HUD-94128-OHF Environmental Assessment and Compliance Findings.Final.pdf	Yes	Yes	Fillable Fileable
Form	HUD-92422	Data Request	HUD-92422 - Data Request.Final.xlsx	Yes	Yes	Fillable Fileable
Form	HUD-92452A-OHF	Payment Bond	HUD-92452A-OHF Payment Bond.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92452-OHF	Performance Bond	HUD-92452-OHF Performance Bond.Final.docx	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	HUD-91725-OHF-CERT	HUD-91725-CERT-OHF Exhibit A to Opinion	HUD-91725-CERT-OHF Exhibit A to Opinion.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92013-OHF	Application for Hospital Mortgage Insurance	HUD-92013-OHF Application for Hospital Mortgage Insurance.Final.docx	Yes	Yes	Fillable Fileable
Form	HUD-92023-OHF	Request for Final Endorsement of Credit	HUD_92023-OHF.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 and Instruction	HUD-91725-INST-OHF	HUD-91725-INST-OHF Instructions to Opinion	HUD-91725-INST-OHF Instructions to Opinion.Final.docx	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: 496

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	496	496
Annual IC Time Burden (Hours)	73,047	73,047
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.