Information Collection

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

IC 199247 under ICR 202206-2502-001 · OMB 2502-0602.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HUD-92422-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 - (508 Fixes) vs.xlsx
Form
HUD-92422-OHF Financial and Statistical Data For HUD Reporting
HUD-92422-OHF Financial and Statistical Data for HUD Reporting - (508 Fixes) vs.xlsx
Form
HUD-92452A-OHF Payment Bond
HUD-92452A-OHF Payment Bond - clearance.docx
Form
HUD-92452A-OHF Payment Bond
HUD-92452A-OHF Payment Bond - clearance.docx
Form
HUD-92452-OHF Performance Bond
HUD-92452-OHF Performance Bond - (508 Fixes) vs.docx
Form
HUD-92452-OHF Performance Bond
HUD-92452-OHF Performance Bond - (508 Fixes) vs.docx
Form
HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospit
HUD-92464-OHF Request for Advance of Escrow Funds - (508 Fixes) vs.docx
Form
HUD-92464-OHF Request for Approval of Advance of Escrow Funds - Hospit
HUD-92464-OHF Request for Advance of Escrow Funds - (508 Fixes) vs.docx
Form
HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification
HUD-91725-CERT-OHF Exhibit A to Opinion - (508 Fixes) vs.docx
Form
HUD-91725-CERT-OHF Exhibit A to Opinion of Borrower's Counsel Certification
HUD-91725-CERT-OHF Exhibit A to Opinion - (508 Fixes) vs.docx
Form
HUD-92013-OHF Application for Hospital Mortgage Insurance
HUD-92013-OHF Application for Mortgage Insurance - (508 Fixes) vs.xlsx
Form
HUD-92013-OHF Application for Hospital Mortgage Insurance
HUD-92013-OHF Application for Mortgage Insurance - (508 Fixes) vs.xlsx
Form
HUD-92023-OHF Request for Final Endorsement of Credit Instrument - Hos
HUD-92023-OHF Request for Final Endorsement - (508 Fixes) vs.docx
Form
HUD-92023-OHF Request for Final Endorsement of Credit Instrument - Hos
HUD-92023-OHF Request for Final Endorsement - (508 Fixes) vs.docx
Form
HUD-92441-OHF Building Loan Agreement
HUD-92441-OHF Building Loan Agreement - (508 Fixes) vs.docx
Form
HUD-92441-OHF Building Loan Agreement
HUD-92441-OHF Building Loan Agreement - (508 Fixes) vs.docx
Form
HUD-92448-OHF Contractor's Requisition Project Mortgages
HUD-92448-OHF Contractors Requisition - (508 Fixes) vs.docx
Form
HUD-92448-OHF Contractor's Requisition Project Mortgages
HUD-92448-OHF Contractors Requisition - (508 Fixes) vs.docx
Form
HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel
HUD-91725-INST-OHF Instructions to Opinion - (508 Fixes) vs.docx
Form and Instruction
HUD-91725-INST-OHF Instructions to Opinion of Borrower's Counsel
HUD-91725-INST-OHF Instructions to Opinion - (508 Fixes) vs.docx
Form and Instruction
HUD-92476-OHF Escrow Agreement for Deferred Work
HUD-92476-OHF Escrow for Deferred Repairs - (508 Fixes) vs.docx
Form
HUD-92476-OHF Escrow Agreement for Deferred Work
HUD-92476-OHF Escrow for Deferred Repairs - (508 Fixes) vs.docx
Form
HUD-91725-OHF Opinion by Counsel to the Borrower
HUD-91725-OHF Opinion of Borrower's Counsel - (508 Fixes) vs.docx
Form
HUD-91725-OHF Opinion by Counsel to the Borrower
HUD-91725-OHF Opinion of Borrower's Counsel - (508 Fixes) vs.docx
Form
HUD-91070-OHF Consolidated Certifications Borrower
HUD-91070-OHF Consolidated Certifications - Borrower - (508 Fixes) vs.docx
Form
HUD-91070-OHF Consolidated Certifications Borrower
HUD-91070-OHF Consolidated Certifications - Borrower - (508 Fixes) vs.docx
Form
HUD-91071-OHF Escrow Agreement for Off-site Facilities
HUD-91071-OHF Off Site Escrow - (508 Fixes) vs.docx
Form
HUD-91071-OHF Escrow Agreement for Off-site Facilities
HUD-91071-OHF Off Site Escrow - (508 Fixes) vs.docx
Form
HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report
HUD-91073-OHF Survey Inst Surveyors Report and Borrowers Survey Cert - (508 Fixes) vs.docx
Form
HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report
HUD-91073-OHF Survey Inst Surveyors Report and Borrowers Survey Cert - (508 Fixes) vs.docx
Form
HUD-92070-OHF Lease Addendum
HUD-92070-OHF Lease Addendum - (508 Fixes) vs.docx
Form
HUD-92070-OHF Lease Addendum
HUD-92070-OHF Lease Addendum - (508 Fixes) vs.docx
Form
HUD-92080-OHF Change of Mortgage Record
HUD-92080-OHF Mortgage Record Change - (508 Fixes) vs.docx
Form
HUD-92080-OHF Change of Mortgage Record
HUD-92080-OHF Mortgage Record Change - (508 Fixes) vs.docx
Form
HUD-92117-OHF Borrower's Certification- Full or Partial Completion of
HUD-92117-OHF Borrowers Cert of Full or Partial Completion - (508 Fixes) vs.docx
Form
HUD-92117-OHF Borrower's Certification- Full or Partial Completion of
HUD-92117-OHF Borrowers Cert of Full or Partial Completion - (508 Fixes) vs.docx
Form
HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f)
HUD-92205-OHF Borrower's Cert of Known Costs - Insurance Upon Completion - (508 Fixes) vs.docx
Form
HUD-92205-OHF Borrower's Certificate of Known Costs (Section 242/223f)
HUD-92205-OHF Borrower's Cert of Known Costs - Insurance Upon Completion - (508 Fixes) vs.docx
Form
HUD-92223-OHF Surplus Cash Note
HUD-92223-OHF Surplus Cash Note - (508 Fixes) vs.docx
Form
HUD-92223-OHF Surplus Cash Note
HUD-92223-OHF Surplus Cash Note - (508 Fixes) vs.docx
Form
HUD-92322-OHF Intercreditor Agreement
HUD-92322-OHF Intercreditor Agreement - (508 Fixes) vs.docx
Form
HUD-92322-OHF Intercreditor Agreement
HUD-92322-OHF Intercreditor Agreement - (508 Fixes) vs.docx
Form
HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Sect
HUD-92330A-OHF Contractor's Certificate of Actual Cost - (508 Fixes) vs.docx
Form
HUD-92330A-OHF Contractor's Certificate of Actual Cost - Hospitals/Sect
HUD-92330A-OHF Contractor's Certificate of Actual Cost - (508 Fixes) vs.docx
Form
HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Sectio
HUD-92330-OHF Borrower's Certificate of Actual Cost - (508 Fixes) vs.docx
Form
HUD-92330-OHF Borrower's Certificate of Actual Cost - Hospitals/Sectio
HUD-92330-OHF Borrower's Certificate of Actual Cost - (508 Fixes) vs.docx
Form
HUD-92403A-OHF Borrower's and Architect's Certificate of Payment
HUD-92403A-OHF Borrower's and Architect's Certification - (508 Fixes) vs.docx
Form
HUD-92403A-OHF Borrower's and Architect's Certificate of Payment
HUD-92403A-OHF Borrower's and Architect's Certification - (508 Fixes) vs.docx
Form
HUD-92403-OHF Application for Insurance of Mortgage Proceeds
HUD-92403-OHF Application for Insurance of Mortgage Proceeds - (508 Fixes) vs.docx
Form
HUD-92403-OHF Application for Insurance of Mortgage Proceeds
HUD-92403-OHF Application for Insurance of Mortgage Proceeds - (508 Fixes) vs.docx
Form
HUD-92434-OHF Lender's Certificate
HUD-92434-OHF Lenders Certification - (508 Fixes) vs.docx
Form
HUD-92434-OHF Lender's Certificate
HUD-92434-OHF Lenders Certification - (508 Fixes) vs.docx
Form
HUD-92422-OHF Financial and Statistical Data For HUD Reporting
HUD-92422-OHF Financial and Statistical Data for HUD Reporting - (508 Fixes) vs.xlsx
Form
HUD-92422-OHF Financial and Statistical Data For HUD Reporting
HUD-92422-OHF Financial and Statistical Data for HUD Reporting - (508 Fixes) vs.xlsx
Form
HUD-92455-OHF Request for Endorsement of Credit Instrument & Certifica
HUD-92455-OHF Req for Initial-Final End of Credit Instrument Cert - (508 Fixes) vs.docx
Form
HUD-92455-OHF Request for Endorsement of Credit Instrument & Certifica
HUD-92455-OHF Req for Initial-Final End of Credit Instrument Cert - (508 Fixes) vs.docx
Form
HUD-92456-OHF Escrow Agreement for Incomplete Construction
HUD-92456-OHF Escrow for Incomplete Construction - (508 Fixes) vs.docx
Form
HUD-92456-OHF Escrow Agreement for Incomplete Construction
HUD-92456-OHF Escrow for Incomplete Construction - (508 Fixes) vs.docx
Form
HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation
HUD-92476A-OHF Escrow for Deferred Limited Rehab - (508 Fixes) vs.docx
Form
HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation
HUD-92476A-OHF Escrow for Deferred Limited Rehab - (508 Fixes) vs.docx
Form
HUD-92466-OHF Regulatory Agreement - Borrower
HUD-92466-OHF Hospital Regulatory Agreement - (508 Fixes) vs.docx
Form
HUD-92466-OHF Regulatory Agreement - Borrower
HUD-92466-OHF Hospital Regulatory Agreement - (508 Fixes) vs.docx
Form
HUD-92479-OHF Off-Site Bond - Dual Obligee
HUD-92479-OHF Off Site Bond Dual Obligee - (508 Fixes) vs.docx
Form
HUD-92479-OHF Off-Site Bond - Dual Obligee
HUD-92479-OHF Off Site Bond Dual Obligee - (508 Fixes) vs.docx
Form
HUD-92554-OHF Supplementary Conditions of the Contract for Constructio
HUD-92554-OHF Supplemental Conditions - (508 Fixes) vs.docx
Form
HUD-92554-OHF Supplementary Conditions of the Contract for Constructio
HUD-92554-OHF Supplemental Conditions - (508 Fixes) vs.docx
Form
HUD-92576-OHF Certificate for Need for Health Facility and Assurance o
HUD-92576-OHF CON for Health Facility - (508 Fixes) vs.docx
Form
HUD-92576-OHF Certificate for Need for Health Facility and Assurance o
HUD-92576-OHF CON for Health Facility - (508 Fixes) vs.docx
Form
HUD-93305-OHF Agreement and Certification
HUD-93305-OHF Agreement and Certification - (508 Fixes) vs.docx
Form
HUD-93305-OHF Agreement and Certification
HUD-93305-OHF Agreement and Certification - (508 Fixes) vs.docx
Form
HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust
HUD-94000-OHF Security Instrument - (508 Fixes) vs.docx
Form
HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust
HUD-94000-OHF Security Instrument - (508 Fixes) vs.docx
Form
HUD-94001-OHF Healthcare Facility Note
HUD-94001-OHF Note - (508 Fixes) vs.docx
Form
HUD-94001-OHF Healthcare Facility Note
HUD-94001-OHF Note - (508 Fixes) vs.docx
Form
HUD-92266-OHF Application for Transfer of Physical Assets
HUD-92266-OHF Application for Transfer of Physical Assets - (508 Fixes) vs.docx
Form
HUD-92266-OHF Application for Transfer of Physical Assets
HUD-92266-OHF Application for Transfer of Physical Assets - (508 Fixes) vs.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 - (508 Fixes) vs.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 - (508 Fixes) vs.docx
Form
HUD-90032-OHF Lender Narrative – Interest Rate Reduction
HUD-90032-OHF Lender Narrative - IRR - (508 Fixes) vs.docx
Form
HUD-90032-OHF Lender Narrative – Interest Rate Reduction
HUD-90032-OHF Lender Narrative - IRR - (508 Fixes) vs.docx
Form
HUD-90033-OHF Lender's Certification in Support of Request for IRR
HUD-90033-OHF Lender's Cert in Support of IRR Request - (508 Fixes) vs.docx
Form
HUD-90033-OHF Lender's Certification in Support of Request for IRR
HUD-90033-OHF Lender's Cert in Support of IRR Request - (508 Fixes) vs.docx
Form
HUD-2510R Release of Regulatory Agreement
HUD-2510R Release of Regulatory Agreement - Borrower - (508 Fixes) vs.docx
Form
HUD-2510R Release of Regulatory Agreement
HUD-2510R Release of Regulatory Agreement - Borrower - (508 Fixes) vs.docx
Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HUD-92422-OHF Financial and Statistical Data For HUD Reporting HUD-92422-OHF Financial and Statistical Data for HUD Reporting - (508 Fixes) vs.xlsx Yes Yes Fillable Fileable
Form HUD-92452A-OHF Payment Bond HUD-92452A-OHF Payment Bond - clearance.docx Yes Yes Fillable Fileable
Form HUD-92452-OHF Performance Bond HUD-92452-OHF Performance Bond - (508 Fixes) vs.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 - (508 Fixes) vs.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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92013-OHF Application for Hospital Mortgage Insurance HUD-92013-OHF Application for Mortgage Insurance - (508 Fixes) vs.xlsx 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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92441-OHF Building Loan Agreement HUD-92441-OHF Building Loan Agreement - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92448-OHF Contractor's Requisition Project Mortgages HUD-92448-OHF Contractors Requisition - (508 Fixes) vs.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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92476-OHF Escrow Agreement for Deferred Work HUD-92476-OHF Escrow for Deferred Repairs - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-91725-OHF Opinion by Counsel to the Borrower HUD-91725-OHF Opinion of Borrower's Counsel - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-91070-OHF Consolidated Certifications Borrower HUD-91070-OHF Consolidated Certifications - Borrower - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-91071-OHF Escrow Agreement for Off-site Facilities HUD-91071-OHF Off Site Escrow - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-91073-OHF HUD Survey Instructions and Surveyor’s Report HUD-91073-OHF Survey Inst Surveyors Report and Borrowers Survey Cert - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92070-OHF Lease Addendum HUD-92070-OHF Lease Addendum - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92080-OHF Change of Mortgage Record HUD-92080-OHF Mortgage Record Change - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92117-OHF Borrower's Certification- Full or Partial Completion of Project HUD-92117-OHF Borrowers Cert of Full or Partial Completion - (508 Fixes) vs.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 - Insurance Upon Completion - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92223-OHF Surplus Cash Note HUD-92223-OHF Surplus Cash Note - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92322-OHF Intercreditor Agreement HUD-92322-OHF Intercreditor Agreement - (508 Fixes) vs.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 - (508 Fixes) vs.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 - (508 Fixes) vs.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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92403-OHF Application for Insurance of Mortgage Proceeds HUD-92403-OHF Application for Insurance of Mortgage Proceeds - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92434-OHF Lender's Certificate HUD-92434-OHF Lenders Certification - (508 Fixes) vs.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 - (508 Fixes) vs.xlsx Yes Yes Fillable Fileable
Form HUD-92455-OHF Request for Endorsement of Credit Instrument & Certificate of Lender, Borrower, & General Contractor HUD-92455-OHF Req for Initial-Final End of Credit Instrument Cert - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92456-OHF Escrow Agreement for Incomplete Construction HUD-92456-OHF Escrow for Incomplete Construction - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92476A-OHF Escrow Agreement for Limited Rehabilitation HUD-92476A-OHF Escrow for Deferred Limited Rehab - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92466-OHF Regulatory Agreement - Borrower HUD-92466-OHF Hospital Regulatory Agreement - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92479-OHF Off-Site Bond - Dual Obligee HUD-92479-OHF Off Site Bond Dual Obligee - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92554-OHF Supplementary Conditions of the Contract for Construction HUD-92554-OHF Supplemental Conditions - (508 Fixes) vs.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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-93305-OHF Agreement and Certification HUD-93305-OHF Agreement and Certification - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-94000-OHF Security Instrument/ Mortgage/Deed of Trust HUD-94000-OHF Security Instrument - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-94001-OHF Healthcare Facility Note HUD-94001-OHF Note - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-92266-OHF Application for Transfer of Physical Assets HUD-92266-OHF Application for Transfer of Physical Assets - (508 Fixes) vs.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 - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-90032-OHF Lender Narrative – Interest Rate Reduction HUD-90032-OHF Lender Narrative - IRR - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-90033-OHF Lender's Certification in Support of Request for IRR HUD-90033-OHF Lender's Cert in Support of IRR Request - (508 Fixes) vs.docx Yes Yes Fillable Fileable
Form HUD-2510R Release of Regulatory Agreement HUD-2510R Release of Regulatory Agreement - Borrower - (508 Fixes) vs.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.