OMB Control No: 2502-0605
ICR Reference No:
202101-2502-003
Status: Received in OIRA
Previous ICR Reference No: 202008-2502-004
Agency/Subagency: HUD/OH
Agency Tracking No:
Title: Comprehensive Listing of
Transactional Documents for Mortgagors, Mortgagees and
Contractors
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR: Yes
Type of Review Request:
Emergency
Approval Requested By:
02/09/2021
Date Submitted to OIRA:
02/03/2021
Requested
Previously Approved
Expiration Date
05/31/2021
06/30/2022
Responses
26,225
26,125
Time Burden (Hours)
50,727
49,226
Cost Burden (Dollars)
0
0
Abstract: Information provided includes
documents comprising the application for FHA mortgage insurance of
residential care facilities, and for servicing of the mortgages.
The information is submitted from HUD-approved mortgagees,
sponsors, mortgagors and contractors. The included documents are
necessary for the application, review, commitment, initial/final
endorsement, administration, servicing, technical oversight and
audit of the Office of Residential Care Facilities projects
pursuant to FHA programs 232, 241, 223(f) and 223(a)(7).
Emergency Justfication: To implement emergency
legislation contained in the recently enacted Consolidated
Appropriations Act of 2021, the Department issued Mortgagee Letter
21-01 on Friday, January 15. That ML referenced as forthcoming the
Lender Narrative essential for lenders’ applications under the
emergency legislation. This emergency processing is essential to
implement emergency legislation providing healthcare facilities
FHA-insured loans needed due to losses resulting from the COVID-19
pandemic. Immediate implementation is needed to help assure
viability of some currently insured facilities and thus diminish
the risk of insurance claims. HUD is seeking emergency review of
the Paperwork Reduction Act requirements contained the document
entitled “Lender Narrative – Operating Loss Loan-COVID--Section
232/223(d).” This is a new temporary form, requested under the
current OMB Approval No. 2502-0605 (exp. 6/30/222) and having
document number HUD-90011t-ORCF. This new form has been adapted
from a PRA-approved document that continues to be in use and is not
itself being revised, that being HUD-90011-ORCF, “Lender
Narrative—Operating Loss Loan Section 232/223(d).” The supplemental
temporary form, containing “COVID” in its title, is for the
operating loss loans that are specifically COVID-related and are
being submitted pursuant to the temporary emergency legislative
authority.
Authorizing Statute(s): US Code:
12
USC 1715 Name of Law: Housing for Moderate and Displaced
Families
US Code: 12
USC 1701 Name of Law: Rental Supplement Payments
US Code: 12
USC 1715n Name of Law: Misc Housing Insurance
US Code: 12
USC 1713 Name of Law: Rental Housing Insurance
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
Did the Agency receive public comments on
this ICR? No
Number of Information Collection (IC) in this
ICR: 1
IC Title
Form No.
Form Name
Transactional
Documents for Mortgagees and Contractors
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94001-ORCF-RI,
94001-ORCF-RI, 94001-ORCF-RI, 94001-ORCF-RI, 92080-ORCF,
92211A-ORCF, 92333A-ORCF, 92342-ORCF, 92071-ORCF, 92324-ORCF,
92330-ORCF, 92330A-ORCF, 94000B-ORCF, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 92334A-ORCF, 92467-ORCF,
94001A-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 92341-ORCF, 94001-ORCF-RI, 2537-ORCF, 90029-ORCF,
92266-ORCF, 93334-ORCF, 91116A-ORCF, 92338A-ORCF, 94001-ORCF-RI,
92467A-ORCF, 1044-D-ORCF, 92340A-ORCF, 92441B-ORCF, 93335-ORCF,
2747-ORCF, 9807-ORCF, 90032-ORCF, 92266B-ORCF, 92323A-ORCF,
92434A-ORCF, 94000A-ORCF, 91117-ORCF, 92264a-ORCF, 92323-ORCF,
92420-ORCF, 92466-ORCF, 9250-ORCF, 92117-ORCF, 92228-ORCF,
92266-ORCF, 92417-ORCF, 93333-ORCF, 93479-ORCF, 93480-ORCF,
91125-ORCF, 91127-OCRF, 91129-ORCF, 92408-ORCF, 92412-ORCF,
92441-ORCF, 92441a-ORCF, 92442-ORCF, 92452-ORCF, 92452A-ORCF,
90020-ORCF, 92322-ORCF, 91725CERT-ORCF, 91725INST-ORCF, 92325-ORCF,
2-ORCF, 91110-ORCF, 91112-ORCF, 91126-ORCF, 91710-ORCF, 92070 -
ORCF, 92223-ORCF, 92466A-ORCF, 94000-ORCF, 94001-ORCF, 93332-ORCF,
93481-ORCF, 93486-ORCF, 95379-ORCF, 9443-ORCF, 91128-ORCF,
92414-ORCF, 92464-ORCF, 92476-ORCF, 92476B-ORCF, 9001-ORCF,
9003-ORCF, 9002-ORCF, 9004-ORCF, 9005-ORCF, 9005a-ORCF, 9006-ORCF,
9007-ORCF, 9007a-OCRF, 9009-ORCF, 9444-ORCF, 90010-ORCF,
90011-ORCF, 92211-ORCF, 92331-ORCF, 92333-ORCF, 92335-ORCF,
92337-ORCF, 92339-ORCF, 92340-ORCF, 9445-ORCF, 90012-ORCF,
90013-ORCF, 90015-ORCF, 90016-ORCF, 90017-ORCF, 90018-ORCF,
90019-ORCF, 90022-ORCF, 91118-ORCF, 91130-ORCF, 92434-ORCF,
92479-ORCF, 92456-ORCF, 92554-ORCF, 93305-ORCF, 92450-ORCF,
9442-ORCF, 91123-ORCF, 91124-ORCF, 92023-ORCF, 92415-ORCF,
90014-ORCF, 92455-ORCF, 91725-ORCF, 941-ORCF, 2205a-ORCF,
9839-ORCF, 90024-ORCF, 91111-ORCF, 91116-ORCF, 90021-ORCF,
92328-ORCF, 92403-ORCF, 92437-ORCF, 92448-ORCF, 92485-ORCF,
935.2D-ORCF, 92000-ORCF, 90023-ORCF, 94000-ORCF-ADD,
94000-ORCF-ADD, 92343-ORCF, 92334-ORCF, 92336-ORCF, 92435-ORCF,
92468-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD,
94000-ORCF-ADD, 90030-ORCF, 90031-ORCF, 90033-ORCF, 92266A-ORCF,
92324A-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 91071-ORCF,
92476C-ORCF, 92327-ORCF, HUD-90011t-ORCF
Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NH)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NE)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NM)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - OR)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - PA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - VT)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - WV)
, Healthcare
Facility Note - Rider (various states - AK) , Healthcare Facility Note -
Rider (various states - LA) , Healthcare Facility Note -
Rider (various states - OR) , Healthcare Facility Note -
Rider (various states - WA) , Mortgage Record Change -
232 , Supplemental Master Lease
Addendum , Supplemental Master Lease
SNDA , Amendment to HUD Master Lease
(Partial Termination and Release) , Management Agreement
Addendum , Operator Assignment of Leases
and Rents , Mortgagor's Certificate of
Actual Cost , Contractor's Certificate of
Actual Cost , Rider to Security Instrument -
LIHTC , Security
Instrument/Mortgage/Deed of Trust Addenda (various states - AK)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - CO)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states -
CNM) , Security
Instrument/Mortgage/Deed of Trust Addenda (various states - DE)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - KS)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MD)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NC)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - OH)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - OK)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - SC)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - TN)
, Supplemental
Master Tenant Assignment of Leases and Rents , Supplemental Healthcare
Regulatory Agreement – Borrower , Supplemental Healthcare
Facility Note , Security
Instrument/Mortgage/Deed of Trust Addenda (various states - AZ)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - IN)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - ME)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MO)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - VA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - VI)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - GA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - FL)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - GU)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - IA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - ID)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - IL)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MN)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MS)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MT)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NV)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NY)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states -TX)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - WI)
, Termination
and Release of Cross-Default Guaranty of Subtenants ,
Healthcare Facility
Note - Rider (various states - ME) , Mortgagee's Application for
Partial Settlement , 232 Healthcare Portal
Access , Application for Change of
Ownership , Servicer's Notification to HUD
of Risks to Healthcare Project , Supplemental Addendum to
Operating Lease , Supplemental Healthcare
Regulatory Agreement – Master Tenant , Healthcare Facility Note -
Rider (various states - VT) , Supplemental Healthcare
Regulatory Agreement – Operator , Multifamily Insurance Branch
Claim , Supplemental Master Tenant
Security Agreement , Supplemental Building Loan
Agreement for 241(a) , Operator's Notification to HUD
of Threats to Permits and Approvals , Application for Insurance
Benefits , Insurance Termination
Request , Lender Narrative, Loan
Modification , Lender Narrative, Change of
Management Agent , Supplemental Operator Security
Agreement , Supplemental Lender's
Certificate for 241(a) , Supplemental Security
Instrument/Mortgage/Deed of Trust , Operator Estoppel
Certificate , Maximum Insurable Loan
Calculation , Operator Security
Agreement , Subordination Agreement
Financing , Healthcare Regulatory
Agreement Borrower , Funds Authorization ,
Borrowers
Certification- Full or Partial Completion of Non-Critical
Repairs , Model Form - Bill of Sale
, Application
for Transfer of Physical Assets , Personal Financial and Credit
Statement , Certification of Physical
Condition Compliance , Monthly Report for
Establishing Net Income , Schedule B - Schedule of
Disbursements , Forecasted Staffing
Schedule , Financial Statement
Certification-General Contractor , Lender Certification for New
Construction, Cost Certifications , HUD Amendment to AIA Document
B108 , Escrow Agreement for Working
Capital , Building Loan Agreement ,
Building Loan
Agreement Supplemental , Construction Contract ,
Performance
Bond - Dual Obligee , Payment Bond ,
Accounts Receivable
Financing Certification , Intercreditor Agreement ,
Exhibit A to
Opinion of Borrowers Counsel - Certification , Instructions to Guide for
Opinion of Borrowers and Operators Counsel , Guide for Opinion of
Operators Counsel, and Certification , Request for Waiver of Housing
Directive , Subordination, Non-Disturbance
and Attornment Agreement of Operating Lease (SNDA) ,
Refund Request for
Overpayment of Firm Application Exam Fee , Financial Statement
Certification-Borrower , Residual Receipts Note
(Nonprofit Borrowers) , Lease Addendum ,
Surplus Cash Note
, Healthcare
Regulatory Agreement Operator , Security Instrument/
Mortgage/Deed of Trust , Healthcare - Facility Note
, Certification
of Exigent Health & Safety (EH&S) Issues ,
Schedule C - Schedule
of Accounts Payable , Computation of Surplus Cash,
Distributions and Residual Receipts , HUD Representatives Trip
Report , Minor Movable Equipment Escrow
Agreement , Initial Operating Deficit
Escrow Calculation , Escrow Agreement For Latent
Defects , Request for Approval of
Advance/Release of Escrow Funds , Escrow Agreement for
Non-critical, Deferred Repairs , Escrow Agreement For Operating
Deficits , Lender Narrative Section
232/223(a)7 Refinance , Lender Narrative Section
232/241(a) , Lender Narrative-Section
232/223(f) Refinance , Lender Narrative New
Construction Single Stage , Lender Narrative New
Construction 2 Stage, Initial Firm Submission , Lender Narrative New
Construction 2 Stage, Final Firm Submission , Lender Narrative Substantial
Rehabilitation Single Stage , Lender Narrative Substantial
Rehabilitation 2 Stage Initial Firm Submission ,
Lender Narrative
Substantial Rehabilitation 2 Stage, Final Firm Submission ,
Lender
Narrative - Fire Safety Equipment Installation, without Existing
HUD-Insured Mortgage , Lender Narrative Supplement
Cost Certification , Lender Narrative - Fire Safety
Equipment Installation, with Existing HUD-Insured Mortgage ,
Lender
Narrative Operating Loss Loan , Master Lease Addendum ,
Cross-Default
Guaranty of Subtenants , Master Lease Subordination,
Non-Disturbance and Attornment Agreement , Guide for Opinion of Master
Tenants Counsel , Healthcare Regulatory
Agreement Master Tenant , Master Tenant Estoppel
Certificate , Master Tenant Security
Agreement , Certification of Outstanding
Obligations - Section 232/223(f) , Consolidated Certifications
Lender , Consolidated Certifications
Borrower , Consolidated Certifications
Operator , Consolidated Certifications -
Parent of the Operator , Consolidated Certifications
Management Agent , Consolidated Certifications
Contractor , Auditor Certification ,
Certification
for Submission of Electronic Firm Application , Borrower's Certification -
Completion of Critical Repairs , Building Code
Certification , Lenders Certificate ,
Off-Site Bond
Dual Obligee , Escrow Agreement for
Incomplete Construction , Supplementary Conditions of
the Contract for Construction , Agreement and
Certification , Completion of Assurance ,
Memo Requesting
Post-Commitment Early Start of Construction , Design Professionals
Certification of Liability Insurance , Design Architects
Certification , Request for Final Endorsement
of Credit Instrument , Request for Permission to
Commence Construction , Consolidated Certifications
Principal of Borrower , Request for Endorsement of
Credit Instrument & Certificate of Lender, Borrower &
General Contractor , Guide for Opinion of
Borrowers Counsel , Lenders FHA Number
Request , Borrowers Certificate of
Actual Cost , Management
Certification—Residential Care Facility , Contact Sheet ,
Survey Instructions
and Borrower's Certification , Addendum to Operating
Lease , Previous Participation
Certification – Controlling Participant , Contractor's and/or
Mortgagor's Cost Breakdown , Application for Insurance of
Advance of Mortgage Proceeds , Request for Construction
Changes on Project Mortgages , Contractor's Requisition ,
Permission to
Occupy , Affirmative Fair Housing
Marketing Plan – 232 , Appraisal Sockets ,
Early
Commencement/Early Start – Borrower Certification ,
Security
Instrument/Mortgage/Deed of Trust Addenda (various states - AR)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - CA)
, Limited
Guaranty and Security Agreement , Master Tenant Assignment of
Leases and Rents , Subordinate Cross-Default
Guaranty of Subtenants , Lender's Certification -
Insurance Coverage , Healthcare Regulatory
Agreement – Fire Safety , Security
Instrument/Mortgage/Deed of Trust Addenda (various states - AL)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - HI)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - LA)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - MI)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - NJ)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - RI)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - SD)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - WY)
, Lender
Narrative, Requests to Release or Modify Original Loan
Collateral , Lender Narrative, Accounts
Receivable , Loan Modification Lender
Certification , Lender Narrative, Change of
Operator/Lessee , Supplemental Operator
Assignment of Leases and Rents , Security
Instrument/Mortgage/Deed of Trust Addenda (various states - UT)
, Security
Instrument/Mortgage/Deed of Trust Addenda (various states - WA)
, Escrow
Agreement for Off-site Facilities , Escrow Agreement for Debt
Service Reserves , Consolidated Operator Opinion
[Single State] , Lender Narrative – Operating
Loss Loan Section 232/223(d) – COVID
ICR Summary of Burden
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in
Estimate
Change Due to Potential Violation of
the PRA
Annual Number of Responses
26,225
26,125
0
100
0
0
Annual Time Burden (Hours)
50,727
49,226
0
1,501
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency
Discretion: Yes
Burden Increase Due to: Changing
Regulations
Burden decreases because of Program Change due to Agency
Discretion: No
Burden Reduction Due to:
Short Statement: HUD-90011t is being added as a
supplemental temporary form, containing “COVID” in its title, is
for the operating loss loans that are specifically COVID-related
and are being submitted pursuant to the temporary emergency
legislative authority. This emergency processing is essential to
implement emergency legislation providing healthcare facilities
FHA-insured loans needed due to losses resulting from the COVID-19
pandemic. Immediate implementation is needed to help assure
viability of some currently insured facilities and thus diminish
the risk of mortgage insurance claims.
Annual Cost to Federal Government:
$5,682,629
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.
Yes
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.
Yes
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?
No
Agency Contact: Emmanuel Yeow 865
474-8208
Common Form ICR: Yes
Description/Changes for Common Form
Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title