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

Comprehensive Transactional Forms Supporting FHA’s Section 242 Mortgage Insurance Program for Hospitals

OMB: 2502-0602

IC ID: 199247

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Information Collection (IC) Details

View Information Collection (IC)

Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)
 
No Modified
 
Required to Obtain or Retain Benefits
 
24 CFR 241 24 CFR 223 24 CFR 242

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HUD-92452A-OHF Payment Bond HUD-92452A-OHF Payment Bond.clean.docx Yes Yes Fillable Fileable
Form HUD-92452-OHF Performance Bond HUD-92452-OHF Performance Bond.clean.docx Yes Yes Fillable Fileable
Form HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospitals/Section 242 HUD-92464-OHF Request for Advance of Escrow Funds.clean.docx Yes Yes Fillable Fileable
Form HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification HUD-91725-CERT-OHF Exhibit A to Opinion.clean.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 Instrument - Hospitals/Section 242 HUD-92023-OHF Request for Final Endorsement.clean.docx Yes Yes Fillable Fileable
Form HUD-92441-OHF Building Loan Agreement HUD-92441-OHF Building Loan Agreement.clean.docx Yes Yes Fillable Fileable
Form HUD-92448-OHF Contractor's Requisition Project Mortgages HUD-92448-OHF Contractors Requisition.clean.docx Yes Yes Fillable Fileable
Form and Instruction HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel HUD-91725-INST-OHF Instructions to Opinion.clean.docx Yes Yes Fillable Fileable
Form HUD-92476-OHF Escrow Agreement for Deferred Work HUD-92476-OHF Escrow for Deferred Work.clean.docx Yes Yes Fillable Fileable
Form HUD-91725-OHF Opinion by Counsel to the Borrower HUD-91725-OHF Opinion of Borrower's Counsel.clean.docx Yes Yes Fillable Fileable
Form HUD-91070-OHF Consolidated Certifications Borrower HUD-91070-OHF Consolidated Cert.clean.docx Yes Yes Fillable Fileable
Form HUD-91071-OHF Escrow Agreement for Off-site Facilities HUD-91071-OHF Off Site Escrow.clean.docx Yes Yes Fillable Fileable
Form HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report HUD-91073-OHF HUD Survey Instructions and Surveyor's Report.clean.docx Yes Yes Fillable Fileable
Form HUD-91111-OHF Survey Instructions and Borrower's Certification HUD-91111-OHF Survey Instructions and Borrower's Certification.clean.docx Yes Yes Fillable Fileable
Form HUD-92070-OHF Lease Addendum HUD-92070-OHF Lease Addendum.clean.docx Yes Yes Fillable Fileable
Form HUD-92080-OHF Change of Mortgage Record HUD-92080-OHF Mortgage Record Change.clean.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.clean.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.clean.docx Yes Yes Fillable Fileable
Form HUD-92223-OHF Surplus Cash Note HUD-92223-OHF Surplus Cash Note.clean.docx Yes Yes Fillable Fileable
Form HUD-92322-OHF Intercreditor Agreement HUD-92322-OHF Intercreditor Agreement.clean.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_clean.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.clean.docx Yes Yes Fillable Fileable
Form HUD-92403A-OHF Borrower's and Architect's Certificate of Payment HUD-92403A-OHF Borrower's and Architect's Certification.clean.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.clean.docx Yes Yes Fillable Fileable
Form HUD-92554-OHF Supplementary Conditions of the Contract for Construction HUD-92554-OHF Supplemental Conditions.clean.docx 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.clean.docx Yes Yes Fillable Fileable
Form HUD-93305-OHF Agreement and Certification HUD-93305-OHF Agreement and Certification.clean.docx Yes Yes Fillable Fileable
Form HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust HUD-94000-OHF Security Instrument.clean.docx Yes Yes Fillable Fileable
Form HUD-94001-OHF Healthcare Facility Note HUD-94001-OHF Note.clean.docx Yes Yes Fillable Fileable
Form HUD-94128-OHF Environmental Assessment and Compliance Findings for the Related Laws HUD-94128-OHF Environmental Assessment and Compliance Findings.pdf Yes Yes Fillable Fileable
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting HUD-92422-OHF Financial and Statistical Data for HUD Reporting.revised.xlsx 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.clean.docx Yes Yes Fillable Fileable
Form HUD-92456-OHF Escrow Agreement for Incomplete Construction HUD-92456-OHF Escrow for Incomplete Construction.clean.docx Yes Yes Fillable Fileable
Form HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation HUD-92476A-OHF Escrow for Limited Rehab.clean.docx Yes Yes Fillable Fileable
Form HUD-92466-OHF Regulatory Agreement - Borrower HUD-92466-OHF Hospital Regulatory Agreement - Borrower.clean.docx Yes Yes Fillable Fileable
Form HUD-92479-OHF Off-Site Bond - Dual Obligee HUD-92479-OHF Off Site Bond.clean.docx Yes Yes Fillable Fileable
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting HUD-92422-OHF Financial and Statistical Data for HUD Reporting.revised.xlsx Yes Yes Fillable Fileable
Form HUD-92266-OHF Application for Transfer of Physical Assets HUD-92266-OHF Application for Transfer of Physical Assets.clean.docx Yes Yes Fillable Fileable
Form HUD-92476B-OHF Escrow Agreement for Proceeds from Partial Release of Collateral HUD-92476B-OHF Escrow for Proceeds from Partial Release of Collateral.clean.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

485 0
   
Individuals or Households
 
   98 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,069 0 573 0 0 496
Annual IC Time Burden (Hours) 79,426 0 6,379 0 0 73,047
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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