OMB Control No:
2502-0605
ICR Reference No:
201308-2502-009
Status:
Historical Active
Previous ICR Reference No:
201210-2502-009
Agency/Subagency:
HUD/OH
Agency Tracking No:
Title:
Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/30/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/27/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2017
36 Months From Approved
06/30/2014
Responses
20,322
0
20,322
Time Burden (Hours)
44,221
0
44,966
Cost Burden (Dollars)
0
0
0
Abstract:
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).
Authorizing Statute(s):
US Code:
12 USC 1701
Name of Law: Rental Supplement Payments
US Code:
12 USC 1715
Name of Law: Housing for Moderate and Displaced Families
US Code:
12 USC 1715n
Name of Law: Misc Housing Insurance
US Code:
12 USC 1713
Name of Law: Rental Housing Insurance
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
2502-AJ05
Final or interim final rulemaking
77 FR 55120
09/07/2012
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 55282
09/10/2013
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 11114
02/27/2014
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Transactional Documents for Mortgagees and Contractors
9001f-ORCF, 9001g-ORCF, 9001h-ORCF, 9001i-ORCF, 9001e-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, 91117-ORCF, 91725CERT-ORCF, 91725INST-ORCF, 92325-ORCF, 2-ORCF, 91110-ORCF, 91112-ORCF, 91126-ORCF, 91708-ORCF, 91710-ORCF, 92070 - ORCF, 92223-ORCF, 92466A-ORCF, 92576A-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, 9001a-ORCF, 9001b-ORCF, 9001c-ORCF, 9001d-ORCF, 9003-ORCF, 9002-ORCF, 9004-ORCF, 9005-ORCF, 9005a-ORCF, 9006-ORCF, 9007-ORCF, 9007a-OCRF, 9008-ORCF, 9009-ORCF, 9444-ORCF, 90010-ORCF, 90011-ORCF, 90025-ORCF, 90025a-ORCF, 92211-ORCF, 92331-ORCF, 92333-ORCF, 92335-ORCF, 92337-ORCF, 92339-ORCF, 92340-ORCF, 9445-ORCF, 90012-ORCF, 90013-ORCF, 90014-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, 92455-ORCF, 91725-ORCF, 941-ORCF, 2205a-ORCF, 9839-ORCF, 90024-ORCF, 91111-ORCF, 91116-ORCF, 91119-ORCF, 92264a-ORCF, 92323-ORCF, 92420-ORCF, 92466-ORCF, 9250-ORCF, 9250A-ORCF, 92117-ORCF, 92228-ORCF, 92266-ORCF, 92417-ORCF, 93333-ORCF, 93479-ORCF, 93480-ORCF
Master Tenant Security Agreement
,
Computation of Surplus Cash, Distributions and Residual Receipts
,
Memo Requesting Post-Commitment Early Start of Construction
,
Design ProfessionalÂs Certification of Liability Insurance
,
Design ArchitectÂs Certification
,
Forecasted Staffing Schedule
,
Financial Statement Certification-General Contractor
,
Lender Certification for New Construction, Cost Certifications
,
Accounts Receivable Financing Certification
,
Estoppel Certificate
,
Guide for Opinion of BorrowerÂs Counsel
,
Exhibit A to Opinion of BorrowerÂs Counsel - Certification
,
Instructions to Guide for Opinion of BorrowerÂs and OperatorÂs Counsel
,
Request for Waiver of Housing Directive
,
LenderÂs FHA Number Request
,
BorrowerÂs Certificate of Actual Cost
,
Management Certification -Residential Care Facility
,
Contact Sheet
,
Subordination, Non-Disturbance and Attornment Agreement
,
Survey Instructions and BorrowerÂs Certification
,
Refund Request for Overpayment of Firm Application Exam Fee
,
Addendum to Operating Lease
,
Schedule of Facilities Owned, Operated or Managed
,
Financial Statement Certification-Borrower
,
Agreement for Payment of Real Property Taxes
,
Residual Receipts Note (Nonprofit Borrowers)
,
Lease Addendum
,
Surplus Cash Note
,
Maximum Insurable Loan
,
Subordination Agreement Financing
,
Certificate of Need, (CON), for Health Facility and Assurance of Enforcement of State Standards
,
Healthcare - Facility Note
,
Funds Authorization
,
Borrower Certification and Request Detail
,
BorrowerÂs 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
,
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 RepresentativeÂs 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
,
Addendum to Underwriting Narrative  Project Capital Needs Assessment (PCNA)
,
Addendum to Underwriting Narrative  ALTA/ACSM Land Title Survey
,
Addendum to Underwriting Narrative  Environmental
,
Addendum to Underwriting Narrative  Other Eligible Existing Indebtedness
,
Addendum to Underwriting Narrative  Principal of the Borrower
,
Addendum to Underwriting Narrative  Operator
,
Addendum to Underwriting Narrative  Management Agent
,
Addendum to Underwriting Narrative  Transfer of Physical Assets
,
Addendum to Underwriting Narrative  Accounts Receivable (AR) Financing
,
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  Existing Buildings with New Construction Blended Rate Single Stage
,
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
,
Lender Narrative  Existing Buildings with New Construction Blended Rate 2 Stage, Initial Firm Submission
,
Lender Narrative  Blended Rate 2 Stage, Final Firm Submission
,
Master Lease Addendum
,
Cross-Default Guaranty of Subtenants
,
Guide for Opinion of Master TenantÂs Counsel
,
Master Tenant Estoppel Certificate
,
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
,
LenderÂs Certificate
,
Completion of Assurance
,
Intercreditor Agreement
,
Operator Security Agreement
,
Guide for Opinion of OperatorÂs Counsel, and Certification
,
Master Lease Subordination, Non-Disturbance and Attornment Agreement
,
Healthcare Regulatory Agreement  Master Tenant
,
Healthcare Regulatory Agreement  Operator
,
Healthcare Regulatory Agreement  Borrower
,
Security Instrument/ Mortgage/Deed of Trust
ICR Summary 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
20,322
20,322
0
0
0
0
Annual Time Burden (Hours)
44,221
44,966
0
-745
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Changing Forms
Short Statement:
The actual form changes have not affected the burden reporting. Corrections were made to burden hour calculation, due to errors found in prior publications. The errors have been corrected.
Annual Cost to Federal Government:
$1,581,864
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Nicole Hendrich 202 402-6856
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title