Information Collection Request

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

ICR 202206-2502-001 · OMB 2502-0602 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form HUD-2510R Release of Regulatory Agreement Form Modified Available
Form HUD-90033-OHF Lender's Certification in Support of Request for IRR Form Modified Available
Form HUD-90032-OHF Lender Narrative – Interest Rate Reduction Form Modified Available
Form HUD-92476B-OHF Escrow Agreement for Proceeds from Partial Release of Collateral Form Modified Available
Form HUD-92266-OHF Application for Transfer of Physical Assets Form Modified Available
Form HUD-94001-OHF Healthcare Facility Note Form Modified Available
Form HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust Form Modified Available
Form HUD-93305-OHF Agreement and Certification Form Modified Repair queued
Form HUD-92576-OHF Certificate for Need for Health Facility and Assurance of Enforcement of State Standards Form Modified Available
Form HUD-92554-OHF Supplementary Conditions of the Contract for Construction Form Modified Available
Form HUD-92479-OHF Off-Site Bond - Dual Obligee Form Modified Available
Form HUD-92466-OHF Regulatory Agreement - Borrower Form Modified Available
Form HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation Form Modified Available
Form HUD-92456-OHF Escrow Agreement for Incomplete Construction Form Modified Available
Form HUD-92455-OHF Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower, & General Contractor Form Modified Available
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting Form Modified Available
Form HUD-92434-OHF Lender's Certificate Form Modified Available
Form HUD-92403-OHF Application for Insurance of Mortgage Proceeds Form Modified Available
Form HUD-92403A-OHF Borrower's and Architect's Certificate of Payment Form Modified Available
Form HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Section 242 Form Modified Available
Form HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Section 242 Form Modified Available
Form HUD-92322-OHF Intercreditor Agreement Form Modified Available
Form HUD-92223-OHF Surplus Cash Note Form Modified Available
Form HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f) Form Modified Available
Form HUD-92117-OHF Borrower's Certification- Full or Partial Completion of Project Form Modified Available
Form HUD-92080-OHF Change of Mortgage Record Form Modified Available
Form HUD-92070-OHF Lease Addendum Form Modified Available
Form HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report Form Modified Available
Form HUD-91071-OHF Escrow Agreement for Off-site Facilities Form Modified Available
Form HUD-91070-OHF Consolidated Certifications Borrower Form Modified Available
Form HUD-91725-OHF Opinion by Counsel to the Borrower Form Modified Available
Form HUD-92476-OHF Escrow Agreement for Deferred Work Form Modified Available
Form HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel Form and Instruction Modified Available
Form HUD-92448-OHF Contractor's Requisition Project Mortgages Form Modified Available
Form HUD-92441-OHF Building Loan Agreement Form Modified Available
Form HUD-92023-OHF Request for Final Endorsement of Credit Instrument - Hospitals/Section 242 Form Modified Available
Form HUD-92013-OHF Application for Hospital Mortgage Insurance Form Modified Available
Form HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification Form Modified Available
Form HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospitals/Section 242 Form Modified Available
Form HUD-92452-OHF Performance Bond Form Modified Available
Form HUD-92452A-OHF Payment Bond Form Modified Available
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting Form Modified Available
Form HUD-92422-OHF Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form Modified Repair queued
Forms Revision Chart 2502-0602 - HUD-94001 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-94000 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-93305 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92576 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92554 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-92479 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92476B - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92476A - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92476 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92466 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-92464 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92456 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92455 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92452A - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92452 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92448 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-92442 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92441 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92434 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-92422 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92415 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92403A - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92403 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92330A - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92330 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92322 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-92266 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Available
Forms Revision Chart 2502-0602 - HUD-92223 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92205 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92117 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92080 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92070 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92023 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-92013 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-91725 INST - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD-91725 CERT - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD-91725 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Forms Revision Chart 2502-0602 - HUD 91073 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD 91071 - 2022-07-21.docx Supplementary Document Uploaded 2022-07-25 Repair queued
Forms Revision Chart 2502-0602 - HUD 91070 - 2022-07-21.docx Supplementary Document Uploaded 2022-10-19 Repair queued
Published 60-Day FRN OMB 2502-0602, 4-26-2022.pdf Supplementary Document Uploaded 2022-06-14 Repair queued
Supporting Statement A for OMB 2502-0602, 6-8-2022.docx Supporting Statement A Uploaded 2022-06-14 Repair queued
24 CFR Sec 200.6.pdf Supplementary Document Uploaded 2019-08-09 Repair queued
24 CFR Sec 5.212.pdf Supplementary Document Uploaded 2019-08-09 Repair queued
12 U.S.C. Sec 1701.pdf Supplementary Document Uploaded 2019-08-09 Repair queued
24 CFR 241.pdf Supplementary Document Uploaded 2019-08-09 Repair queued
24 CFR 242.pdf Supplementary Document Uploaded 2019-08-09 Repair queued
2502-0602 Laws and Regs.zipx Supplementary Document Uploaded 2016-05-12 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRelease of Regulatory Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedLender's Certification in Support of Request for IRR
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedLender Narrative – Interest Rate Reduction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement for Proceeds from Partial Release of Collateral
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedApplication for Transfer of Physical Assets
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedHealthcare Facility Note
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedSecurity Instrument/ Mortgage/Deed of Trust
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedAgreement and Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedCertificate for Need for Health Facility and Assurance of Enforcement of State Standards
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedSupplementary Conditions of the Contract for Construction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedOff-Site Bond - Dual Obligee
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRegulatory Agreement - Borrower
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement for Limited Rehabilitation
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement for Incomplete Construction
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRequest for Endorsement of Credit Instrument & Certificate of Lender, Borrower, & General Contractor
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedFinancial and Statistical Data For HUD Reporting
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedLender's Certificate
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedApplication for Insurance of Mortgage Proceeds
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBorrower's and Architect's Certificate of Payment
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBorrower's Certificate of Actual Cost - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedContractor's Certificate of Actual Cost - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedIntercreditor Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedSurplus Cash Note
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBorrower's Certificate of Known Costs (Section 242/223f)
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBorrower's Certification- Full or Partial Completion of Project
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedChange of Mortgage Record
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedLease Addendum
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedHUD Survey Instructions and Surveyor’s Report
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement for Off-site Facilities
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedConsolidated Certifications Borrower
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedOpinion by Counsel to the Borrower
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedEscrow Agreement for Deferred Work
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form and Instruction ModifiedInstructions to Opinion of Borrower's Counsel
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedContractor's Requisition Project Mortgages
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedBuilding Loan Agreement
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRequest for Final Endorsement of Credit Instrument - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedApplication for Hospital Mortgage Insurance
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedExhibit A to Opinion of Borrower's Counsel Certification
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedRequest for Approval of Advance of Escrow Funds - Hospitals/Section 242
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPerformance Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedPayment Bond
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form ModifiedFinancial and Statistical Data For HUD Reporting
199247 Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved
1,302 0 0
73,187 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Hospital Facilities projects pursuant to FHA Programs 242, 241, 223(f), 223(a)(7) HUD-90032-OHF, HUD-90033-OHF, HUD-2510R, HUD-92452A-OHF, HUD-92452-OHF, HUD-92464-OHF, HUD-92441-OHF, HUD-92422-OHF, HUD-92448-OHF, HUD-91725-CERT-OHF, HUD-92013-OHF, HUD-92023-OHF, HUD-92576-OHF, HUD-91725-INST-OHF, HUD-92330A-OHF, HUD-92554-OHF, HUD-93305-OHF, HUD-94000-OHF, HUD-94001-OHF, HUD-92476-OHF, HUD-91725-OHF, HUD-91070-OHF, HUD-91071-OHF, HUD-91073-OHF, HUD-92070-OHF, HUD-92403-OHF, HUD-92434-OHF, HUD-92422-OHF, HUD-92455-OHF, HUD-92456-OHF, HUD-92476A-OHF, HUD-92479-OHF, HUD-92466-OHF, HUD-92080-OHF, HUD-92117-OHF, HUD-92205-OHF, HUD-92223-OHF, HUD-92322-OHF, HUD-92330-OHF, HUD-92403A-OHF, HUD-92266-OHF , HUD-92476B-OHF ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved 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 1,302 0 0 233 0 1,069
Annual Time Burden (Hours) 73,187 0 0 -6,239 0 79,426
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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