Form Revision Chart - Burden Statement

HUD Form # (see below), TITLE (see below)

HUD-9001-ORCF Lender Narrative - 223a7

HUD-9002-ORCF Lender Narrative - 223f

HUD-9003-ORCF Lender Narrative - 241a

HUD-9004-ORCF Lender Narrative - New Construction - Single Stage

HUD-9005-ORCF Lender Narrative - New Construction - 2 Stage Initial Submittal

HUD-9005a-ORCF Lender Narrative - New Construction - 2 Stage Final Submittal

HUD-9006-ORCF Lender Narrative - Substantial Rehabilitation - Single Stage

HUD-9007-ORCF Lender Narrative - Substantial Rehabilitation - 2 Stage Initial Submittal

HUD-9007a-ORCF Lender Narrative - Substantial Rehabilitation - 2 Stage Final Submittal

HUD-9009-ORCF Lender Narrative 232(i) - Fire Safety Equipment Installation, without Existing HUD Insured Mortgage

HUD-90010-ORCF Lender Narrative 232(i) -Fire Safety Equipment Installation, with Existing HUD Insured Mortgage

HUD-90011-ORCF Lender Narrative 223(d) - Operating Loss Loan

HUD-9444-ORCF Lender Narrative Cost Certification Supplement

HUD-90012-ORCF Consolidated Certification - Lender

HUD-90013-ORCF Consolidated Certification - Borrower

HUD-90014-ORCF Consolidated Certification - Principal of the Borrower

HUD-90015-ORCF Consolidated Certification - Operator

HUD-90016-ORCF Consolidated Certification - Parent of Operator

HUD-90017-ORCF Consolidated Certification - Management Agent

HUD-90018-ORCF Consolidated Certification - Contractors

HUD-90021-ORCF Previous Participation Certification - Controlling Participant

HUD-9442-ORCF Memo for Post-Commitment Early Start of Construction Request

HUD-90023-ORCF Early Commencement/Early Start - Borrower Certification

HUD-91123-ORCF Design Professional's Certification of Liability Insurance

HUD-91124-ORCF Design Architect Certification

HUD-91125-ORCF Staffing Schedule

HUD-91127-ORCF Financial Statement Certification - General Contractor

HUD-91129-ORCF Lender Certification for New Construction Cost Certifications

HUD-92328-ORCF Contractor's and/or Mortgagor's Cost Breakdown

HUD-92403-ORCF Application for Insurance of Advance of Mortgage Proceeds

HUD-92408-ORCF HUD Amendment to B108

HUD-92415-ORCF Request for Permission to Commence Construction Prior to Initial Endorsement for Mortgage Insurance (Post-Commitment Early Start of Construction)

HUD-92437-ORCF Request for Construction Changes on Project Mortgages

HUD-92441-ORCF Building Loan Agreement

HUD-92441a-ORCF Building Loan Agreement Supplemental

HUD-92442-ORCF Construction Contract

HUD-92448-ORCF Contractor's Requisition

HUD-92450-ORCF Completion Assurance

HUD-92452-ORCF Performance Bond - Dual Obligee

HUD-92452A-ORCF Payment Bond

HUD-92455-ORCF Request for Endorsement

HUD-92456-ORCF Escrow Agreement for Incomplete Construction

HUD-92479-ORCF Offsite Bond - Dual Obligee

HUD-92485-ORCF Permission to Occupy

HUD-92554-ORCF Supplementary Conditions of the Contract for Construction

HUD-93305-ORCF Agreement and Certification

HUD-95379-ORCF HUD Representative's Trip Report

HUD-2-ORCF Request for Waiver of Housing Directive

HUD-935.2D-ORCF Affirmative Fair Housing Marketing Plan - 232

HUD-941-ORCF Lenders FHA Number Request Form

HUD-9445-ORCF Certification of Outstanding Obligations

HUD-9839-ORCF Management Certification—Residential Care Facility

HUD-90022-ORCF Certification for Electronic Submittal

HUD-90024-ORCF Contact Sheet

HUD-91116-ORCF Addendum to Operating Lease

HUD-91126-ORCF Financial Statement Certification - Borrower

HUD-91130-ORCF Building Code Certification

HUD-92000-ORCF Appraisal Sockets

HUD-92264a-ORCF Maximum Insurable Loan Calculation

HUD-92434-ORCF Lender Certification

HUD-90020-ORCF Accounts Receivable Financing Certification

HUD-92322-ORCF Intercreditor Agreement (for AR Financed Projects)

HUD-92211-ORCF Master Lease Addendum

HUD-92331-ORCF Cross-Default Guaranty of Subtenants

HUD-92333-ORCF Master Lease SNDA

HUD-92334-ORCF Master Tenant Assignment of Leases and Rents

HUD-92335-ORCF Guide for Opinion of Master Tenant’s Counsel

HUD-92336-ORCF Subordinate Cross-Default Guaranty of Subtenants

HUD-92337-ORCF Healthcare Regulatory Agreement - Master Tenant

HUD-92339-ORCF Master Lease Estoppel Agreement

HUD-92340-ORCF Master Tenant Security Agreement

HUD-92341-ORCF Termination and Release of Cross-Default Guaranty of Subtenants

HUD-92342-ORCF Amendment to HUD Master Lease (Partial Termination and Release)

HUD-92343-ORCF Limited Guaranty and Security Agreement

HUD-2205A-ORCF Borrower’s Certificate of Actual Cost

HUD-91110-ORCF Subordination, Non-Disturbance and Attornment Agreement of Operating Lease (SNDA)

HUD-91111-ORCF Survey Instructions and Borrower’s Certification

HUD-91112-ORCF Request of Overpayment of Firm Application Exam Fee

HUD-91118-ORCF Borrower’s Certification – Completion of Critical Repairs

HUD-91710-ORCF Residual Receipts Note - Non-Profit Mortgagor

HUD-92023-ORCF Request for Final Endorsement

HUD-92070-ORCF Lease Addendum

HUD-92071-ORCF Management Agreement Addendum

HUD-92223-ORCF Surplus Cash Note

HUD-92323-ORCF Operator Security Agreement

HUD-92324-ORCF Operator Assignment of Leases and Rents

HUD-92330-ORCF Mortgagor's Certificate of Actual Cost

HUD-92330A-ORCF Contractor's Certificate of Actual Cost

HUD-92420-ORCF Subordination Agreement - Financing

HUD-92435-ORCF Lender's Certification - Insurance Coverage

HUD-92466-ORCF Healthcare Regulatory Agreement - Borrower

HUD-92466A-ORCF Healthcare Regulatory Agreement - Operator

HUD-92468-ORCF Healthcare Regulatory Agreement - Fire Safety

HUD-94000-ORCF Security Instrument/Mortgage/Deed of Trust

HUD-94000-ORCF-ADD Security Instrument/Mortgage/Deed of Trust Addenda (various states)

HUD-94000B-ORCF Rider to Security Instrument - LIHTC

HUD-94001-ORCF Healthcare Facility Note

HUD-94001-ORCF-RI Healthcare Facility Note - Rider (various states)

HUD-9443-ORCF Minor Moveable Escrow

HUD-91071-ORCF Escrow Agreement for Off-site Facilities

HUD-91128-ORCF Initial Operating Deficit Escrow Calculation Template

HUD-92412-ORCF Working Capital Escrow

HUD-92414-ORCF Latent Defects Escrow

HUD-92464-ORCF Request Approval Advance of Escrow Funds

HUD-92476-ORCF Escrow Agreement Noncritical Deferred Repairs

HUD-92476B-ORCF Escrow Agreement for Operating Deficits

HUD-92476C-ORCF Escrow Agreement for Debt Service Reserves

HUD-91117-ORCF Operator Estoppel Certificate

HUD-91725-ORCF Guide for Opinion of Borrower's Counsel

HUD-91725-INST-ORCF Instructions to Guide for Opinion of Borrower’s and Operator’s Counsel

HUD-91725-CERT-ORCF Exhibit A to Opinion of Borrower's Counsel - Certification

HUD-92325-ORCF Guide for Opinion of Operator's Counsel and Certification

HUD-92327-ORCF Consolidated Operator Opinion [Single State]

HUD-1044-D-ORCF Multifamily Insurance Branch Claim

HUD-2537-ORCF Mortgagee's Application for Partial Settlement

HUD-2747-ORCF Application for Insurance Benefits

HUD-9250-ORCF Funds Authorizations

HUD-9807-ORCF Insurance Termination Request

HUD-90019-ORCF Auditor's Loss period Financial Statement Certification (223d)

HUD-90029-ORCF 232 Healthcare Portal Access

HUD-90030-ORCF Lender Narrative, Requests to Release or Modify Original Loan Collateral

HUD-90031-ORCF Lender Narrative, Accounts Receivable

HUD-90032-ORCF Lender Narrative, Loan Modification

HUD-90033-ORCF Loan Modification Lender Certification

HUD-92080-ORCF Mortgage Record Change - 232

HUD-92117-ORCF Borrower’s Certification – Completion of Non-Critical Repairs

HUD-92228-ORCF Model Form Bill of Sale and Assignment

HUD-92266-ORCF Application for Transfer of Physical Assets (TPA)

HUD-92266A-ORCF Lender Narrative, Change of Operator/Lessee

HUD-92266B-ORCF Lender Narrative, Change of Management Agent

HUD-92417-ORCF Personal Financial and Credit Statement

HUD-93332-ORCF Certification of Exigent Health & Safety (EH&S) Issues

HUD-93333-ORCF Certification Physical Condition in Compliance

HUD-93334-ORCF Servicer's Notification to HUD of Risks to Healthcare Project

HUD-93335-ORCF Operator's Notification to HUD of Threats to Permits and Approvals

HUD-93479-ORCF Monthly Report for Establishing Net Income

HUD-93480-ORCF Schedule of Disbursements

HUD-93481-ORCF Schedule of Accounts Payable

HUD-93486-ORCF Computation of Surplus Cash

HUD-91116A-ORCF Supplemental Addendum to Operator Lease

HUD-92211A-ORCF Supplemental Master Lease Addendum

HUD-92323A-ORCF Supplemental Operator Security Agreement

HUD-92324A-ORCF Supplemental Operator Assignment of Leases and Rents

HUD-92333A-ORCF Supplemental Master Lease SNDA

HUD-92334-ORCF Supplemental Master Tenant Assignment of Leases and Rents

HUD-92338-ORCF Supplemental Healthcare Regulatory Agreement – Master Tenant

HUD-92340A-ORCF Supplemental Master Tenant Security Agreement

HUD-92434A-ORCF Supplemental Lender's Certificate for 241(a)

HUD-92441B-ORCF Supplemental Building Loan Agreement for 241(a)

HUD-92467-ORCF Supplemental Healthcare Regulatory Agreement – Borrower

HUD-92467A-ORCF Supplemental Healthcare Regulatory Agreement – Operator

HUD-94000A-ORCF Supplemental Security Instrument/Mortgage/Deed of Trust

HUD-94001A-ORCF Supplemental Healthcare Facility Note

LOCATION	CURRENT TEXT	REVISED TEXT
p. 1	Public reporting burden for this collection of information is estimated to average 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 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).