Form Revision Chart

91124 Forms Revision Chart_Green.docx

Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

Form Revision Chart

OMB: 2502-0605

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HUD Form #91124-ORCF, Design Architect’s Certification



LOCATION

CURRENT TEXT

REVISED TEXT

p. 1

Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless that collection displays a valid OMB control number.

Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The information is being collected to obtain the supportive documentation that must be submitted to HUD for approval, and is necessary to ensure that viable projects are developed and maintained. The Department will use this information to determine if properties meet HUD requirements with respect to development, operation and/or asset management, as well as ensuring the continued marketability of the properties. Response to this request for information is required in order to receive the benefits to be derived from the National Housing Act Section 232 Healthcare Facility Insurance Program. This agency may not collect this information, and you are not required to complete this form unless it displays a currently valid OMB control number. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

p. 1

Warning: Any person who knowingly presents a false, fictitious, or fraudulent statement or claim in a matter within the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties, civil liability, and administrative sanctions.

Warning: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012; 31 U.S.C. §3729, 3802).


p. 1

To the best of my knowledge,

I, the undersigned Design Architect, to the best of my knowledge,

p.2

d) complies with the applicable State Energy Efficiency Design Code;

d) Meets or exceeds the HUD minimum energy codes which are the International Energy Conservation Code (IEEC 2009), or for any buildings greater than 3 stories above grade, the American Society of Heating, Refrigerating and Air Conditioning Engineers Standard 90.1 (ASHRAE 90.1, 2007) or as updated by HUD;

p. 16

New Warning paragraph

Warning : Title 18 U.S.C. 1001, provides in part that whoever knowingly and willfully makes or uses a document containing any false, fictitious, or fraudulent statement or entry, in any manner in the jurisdiction of any department or agency of the United States, shall be fined not more than $10,000 or imprisoned not more than five years or both

p. 3-6

New certification section

For the Office of Residential Care Facilities (ORCF) Green MIP Projects, also certify to, and provide the applicable information below.






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFF-####, TITLE
AuthorFEMA Employee
File Modified0000-00-00
File Created2023-07-29

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