Information Collection

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

IC 199247 under ICR 201907-2502-007 · OMB 2502-0602.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0602 can be found here:

2022-12-07 - Reinstatement with change of a previously approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-92452A-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7)	Form
HUD-92422-OHF Financial and Statistical Data For HUD Reporting HUD-92422-OHF Financial and Statistical Data for HUD Reporting.revised.xlsx	Form
HUD-92452A-OHF Payment Bond HUD-92452A-OHF Payment Bond.clean.docx	Form
HUD-92452-OHF Performance Bond HUD-92452-OHF Performance Bond.clean.docx	Form
HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospit HUD-92464-OHF Request for Advance of Escrow Funds.clean.docx	Form
HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification HUD-91725-CERT-OHF Exhibit A to Opinion.clean.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 Instrument - Hos HUD-92023-OHF Request for Final Endorsement.clean.docx	Form
HUD-92441-OHF Building Loan Agreement HUD-92441-OHF Building Loan Agreement.clean.docx	Form
HUD-92448-OHF Contractor's Requisition Project Mortgages HUD-92448-OHF Contractors Requisition.clean.docx	Form
HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel HUD-91725-INST-OHF Instructions to Opinion.clean.docx	Form and Instruction
HUD-92476-OHF Escrow Agreement for Deferred Work HUD-92476-OHF Escrow for Deferred Work.clean.docx	Form
HUD-91725-OHF Opinion by Counsel to the Borrower HUD-91725-OHF Opinion of Borrower's Counsel.clean.docx	Form
HUD-91070-OHF Consolidated Certifications Borrower HUD-91070-OHF Consolidated Cert.clean.docx	Form
HUD-91071-OHF Escrow Agreement for Off-site Facilities HUD-91071-OHF Off Site Escrow.clean.docx	Form
HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report HUD-91073-OHF HUD Survey Instructions and Surveyor's Report.clean.docx	Form
HUD-91111-OHF Survey Instructions and Borrower's Certification HUD-91111-OHF Survey Instructions and Borrower's Certification.clean.docx	Form
HUD-92070-OHF Lease Addendum HUD-92070-OHF Lease Addendum.clean.docx	Form
HUD-92080-OHF Change of Mortgage Record HUD-92080-OHF Mortgage Record Change.clean.docx	Form
HUD-92117-OHF Borrower's Certification- Full or Partial Completion of HUD-92117-OHF Borrowers Certification of Full or Partial Completion.clean.docx	Form
HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f) HUD-92205-OHF Borrower's Cert of Known Costs.clean.docx	Form
HUD-92223-OHF Surplus Cash Note HUD-92223-OHF Surplus Cash Note.clean.docx	Form
HUD-92322-OHF Intercreditor Agreement HUD-92322-OHF Intercreditor Agreement.clean.docx	Form
HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Sect HUD-92330A-OHF Contractor's Certificate of Actual Cost.Final_clean.docx	Form
HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Sectio HUD-92330-OHF Borrower's Certificate of Actual Cost.clean.docx	Form
HUD-92403A-OHF Borrower's and Architect's Certificate of Payment HUD-92403A-OHF Borrower's and Architect's Certification.clean.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.clean.docx	Form
HUD-92422-OHF Financial and Statistical Data For HUD Reporting HUD-92422-OHF Financial and Statistical Data for HUD Reporting.revised.xlsx	Form
HUD-92455-OHF Request for Endorsement of Credit Instrument & Certifica HUD-92455-OHF Request for Endorsement of Credit Instrument Certificate.clean.docx	Form
HUD-92456-OHF Escrow Agreement for Incomplete Construction HUD-92456-OHF Escrow for Incomplete Construction.clean.docx	Form
HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation HUD-92476A-OHF Escrow for Limited Rehab.clean.docx	Form
HUD-92466-OHF Regulatory Agreement - Borrower HUD-92466-OHF Hospital Regulatory Agreement - Borrower.clean.docx	Form
HUD-92479-OHF Off-Site Bond - Dual Obligee HUD-92479-OHF Off Site Bond.clean.docx	Form
HUD-92554-OHF Supplementary Conditions of the Contract for Constructio HUD-92554-OHF Supplemental Conditions.clean.docx	Form
HUD-92576-OHF Certificate for Need for Health Facility and Assurance o HUD-92576-OHF CON for Health Facility.clean.docx	Form
HUD-93305-OHF Agreement and Certification HUD-93305-OHF Agreement and Certification.clean.docx	Form
HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust HUD-94000-OHF Security Instrument.clean.docx	Form
HUD-94001-OHF Healthcare Facility Note HUD-94001-OHF Note.clean.docx	Form
HUD-94128-OHF Environmental Assessment and Compliance Findings for the HUD-94128-OHF Environmental Assessment and Compliance Findings.pdf	Form
HUD-92266-OHF Application for Transfer of Physical Assets HUD-92266-OHF Application for Transfer of Physical Assets.clean.docx	Form
HUD-92476B-OHF Escrow Agreement for Proceeds from Partial Release of Co HUD-92476B-OHF Escrow for Proceeds from Partial Release of Collateral.clean.docx	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: Modified

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-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 Surveyorâs 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

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: 485

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,069	573	496
Annual IC Time Burden (Hours)	79,426	6,379	73,047
Annual IC Cost Burden (Dollars)	0	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.