Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

ICR 202108-2502-001

OMB: 2502-0605

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2021-09-07
Supporting Statement A
2021-09-07
Supplementary Document
2021-08-02
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
IC Document Collections
IC ID
Document
Title
Status
204773 Modified
ICR Details
2502-0605 202108-2502-001
Received in OIRA 202107-2502-005
HUD/OH
Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors
Revision of a currently approved collection   Yes
Regular 10/06/2021
  Requested Previously Approved
06/30/2022 11/30/2021
26,125 26,225
49,226 50,727
0 0

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).

US Code: 12 USC 1715n Name of Law: Misc Housing Insurance
   US Code: 12 USC 1713 Name of Law: Rental Housing Insurance
   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
  
None

Not associated with rulemaking

  86 FR 35523 07/06/2021
86 FR 50150 09/07/2021
No

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, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 92341-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 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, 92343-ORCF, 90023-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 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, 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, 94001A-ORCF, 94000-ORCF-ADD, 92334A-ORCF, 92467-ORCF, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD, 94000-ORCF-ADD Accounts Receivable Financing Certification ,   Intercreditor Agreement ,   Operator Estoppel Certificate ,   Guide for Opinion of Borrower’s Counsel ,   Exhibit A to Opinion of Borrower’s Counsel - Certification ,   Instructions to Guide for Opinion of Borrower’s and Operator’s Counsel ,   Guide for Opinion of Operator’s Counsel, and Certification ,   Request for Waiver of Housing Directive ,   Lender’s FHA Number Request ,   Borrower’s Certificate of Actual Cost ,   Management Certification—Residential Care Facility ,   Contact Sheet ,   Subordination, Non-Disturbance and Attornment Agreement of Operating Lease (SNDA) ,   Survey Instructions and Borrower'’s Certification ,   Refund Request for Overpayment of Firm Application Exam Fee ,   Addendum to Operating Lease ,   Financial Statement Certification-Borrower ,   Residual Receipts Note (Nonprofit Borrowers) ,   Lease Addendum ,   Surplus Cash Note ,   Maximum Insurable Loan Calculation ,   Operator Security Agreement ,   Subordination Agreement Financing ,   Healthcare Regulatory Agreement – Borrower ,   Healthcare Regulatory Agreement – Operator ,   Security Instrument/ Mortgage/Deed of Trust ,   Healthcare - Facility Note ,   Funds Authorization ,   Borrower’s 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 Exigent Health & Safety (EH&S) Issues ,   Certification of Physical Condition Compliance ,   Monthly Report for Establishing Net Income ,   Schedule B - Schedule of Disbursements ,   Schedule C - Schedule of Accounts Payable ,   Computation of Surplus Cash, Distributions and Residual Receipts ,   Memo Requesting Post-Commitment Early Start of Construction ,   Design Professional’s Certification of Liability Insurance ,   Design Architect’s Certification ,   Forecasted Staffing Schedule ,   Financial Statement Certification-General Contractor ,   Lender Certification for New Construction, Cost Certifications ,   Request for Final Endorsement of Credit Instrument ,   HUD Amendment to AIA Document B108 ,   Escrow Agreement for Working Capital ,   Request for Permission to Commence Construction ,   Building Loan Agreement ,   Building Loan Agreement Supplemental ,   Construction Contract ,   Performance Bond - Dual Obligee ,   Payment Bond ,   Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower & General Contractor ,   Escrow Agreement for Incomplete Construction ,   Off-Site Bond – Dual Obligee ,   Supplementary Conditions of the Contract for Construction ,   Agreement and Certification ,   HUD Representative’s 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 232/223(f) Refinance ,   Lender Narrative – Section 232/241(a) ,   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 Tenant’s 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 – Principal of 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 ,   Lender’s Certificate ,   Completion of Assurance ,   Previous Participation Certification – Controlling Participant ,   Early Commencement/Early Start – Borrower Certification ,   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 ,   Master Tenant Assignment of Leases and Rents ,   Subordinate Cross-Default Guaranty of Subtenants ,   Termination and Release of Cross-Default Guaranty of Subtenants ,   Amendment to HUD Master Lease (Partial Termination and Release) ,   Limited Guaranty and Security Agreement ,   Management Agreement Addendum ,   Operator Assignment of Leases and Rents ,   Mortgagor's Certificate of Actual Cost ,   Contractor's Certificate of Actual Cost ,   Lender's Certification - Insurance Coverage ,   Healthcare Regulatory Agreement – Fire Safety ,   Rider to Security Instrument - LIHTC ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - AK) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - AL) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - AR) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - AZ) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - CA) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - CNM) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - CO) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - DE) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - FL) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - GA) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - GU) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - HI) ,   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 - IN) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - KS) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - LA) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - MA) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - MD) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - ME) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - MI) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - MN) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - MO) ,   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 - NC) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - NE) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - NH) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - NJ) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - NM) ,   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 - OH) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - OK) ,   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 - RI) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - SC) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - SD) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - TN) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states -TX) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - UT) ,   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 - VT) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - WA) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - WI) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - WV) ,   Security Instrument/Mortgage/Deed of Trust Addenda (various states - WY) ,   Healthcare Facility Note - Rider (various states - AK) ,   Healthcare Facility Note - Rider (various states - LA) ,   Healthcare Facility Note - Rider (various states - ME) ,   Healthcare Facility Note - Rider (various states - OR) ,   Healthcare Facility Note - Rider (various states - VT) ,   Healthcare Facility Note - Rider (various states - WA) ,   Escrow Agreement for Off-site Facilities ,   Escrow Agreement for Debt Service Reserves ,   Consolidated Operator Opinion [Single State] ,   Multifamily Insurance Branch Claim ,   Application for Insurance Benefits ,   Mortgagee's Application for Partial Settlement ,   Insurance Termination Request ,   232 Healthcare Portal Access ,   Lender Narrative, Requests to Release or Modify Original Loan Collateral ,   Lender Narrative, Accounts Receivable ,   Lender Narrative, Loan Modification ,   Loan Modification Lender Certification ,   Mortgage Record Change - 232 ,   Application for Change of Ownership ,   Lender Narrative, Change of Operator/Lessee ,   Lender Narrative, Change of Management Agent ,   Servicer's Notification to HUD of Risks to Healthcare Project ,   Operator's Notification to HUD of Threats to Permits and Approvals ,   Supplemental Addendum to Operating Lease ,   Supplemental Master Lease Addendum ,   Supplemental Operator Security Agreement ,   Supplemental Operator Assignment of Leases and Rents ,   Supplemental Master Lease SNDA ,   Supplemental Master Tenant Assignment of Leases and Rents ,   Supplemental Healthcare Regulatory Agreement – Master Tenant ,   Supplemental Master Tenant Security Agreement ,   Supplemental Lender's Certificate for 241(a) ,   Supplemental Building Loan Agreement for 241(a) ,   Supplemental Healthcare Regulatory Agreement – Borrower ,   Supplemental Healthcare Regulatory Agreement – Operator ,   Supplemental Security Instrument/Mortgage/Deed of Trust ,   Supplemental Healthcare Facility Note

  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 26,125 26,225 0 -100 0 0
Annual Time Burden (Hours) 49,226 50,727 0 -1,501 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
HUD’s explanation for removal of HUD Form 90011t-ORCF is due to the CARES Act which authorized the Operating Loss Loan Program 223(d) to be used for temporary COVID relief until August 31, 2021. HUD Form 90011t-ORCF was approved for use until the temporary COVID relief expires on August 31, 2021, and therefore is being removed from this collection.

$5,960,472
No
    Yes
    Yes
No
No
No
No
Emmanuel Yeow 865 474-8208

  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/06/2021


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