Information Collection

Submission Requirements for the Capital Advance Program Section 202/811

IC 27215 under ICR 201612-2502-004 · OMB 2502-0470.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0470 can be found here:

2024-07-16 - Reinstatement without change of a previously approved collection

Documents and Forms

Document Name Document Type
Form HUD-90163-CA Submission Requirements for the Capital Advance Program Section 202/811 Form
92580ca.pdf Other-Certification
HUD-90163-CA Capital Advance Program Use Agreement 90163.ca.pdf Form
90164-CA Property Insurance Requirements 90164-ca.pdf Form
90165-CA Instructions for the Preparation of Mortgage Deed of Tru 90165ca.pdf Form
90166-CA Capital Advance Program Owner's Attorney's Closing Opini 90166ca.pdf Form
90170-CA Escrow Agreement for Off-Site Facilities 90170ca.pdf Form
90171-CA Escrow Agreement for Unpaid Construction Costs 90171ca.pdf Form
90176-CA Capital Advance Program Escrow Deposit Agreement 90176ca.pdf Form
90177-CA Capital Advance Program Off-Site Bond 90177ca.pdf Form
91732A-CA Certificate of Incorporation 91732aca.pdf Form
90166A-CA Guide for Opinion Of Owners Counsel 90166a.ca.pdf Form
90169.1-CA Design Architect¿s Certification 90169.1-ca.pdf Form
90172A-CA Part I of the Agreement to Enter into a Project Rental A 90172aca.pdf Form
90172B-CA Part II of the Agreement to Enter into a Project Rental 90172bca.pdf Form
90173A-CA Part I of the Project Rental Assistance Contract 90173aca.pdf Form
90173B-CA Part II of the Project Rental Assistance Contract 90173bca.pdf Form
90173C-CA Project Rental Assistance Contract Amendment 90173cca.pdf Form
90175.1-CA Request for Closing on Completion Certificate of Constru 90175.1ca.pdf Form
90175-CA Request for Final Closing 90175ca.pdf Form
90178-CA General Depository Agreement 90178-ca.pdf Form
90179-CA LAND APPRAISAL CHECKLIST FOR GROUP HOMES UNDER THE SECTI 90179-ca (2).pdf Form
92013 Application for Multifamily Housing Project 92013 (2).pdf Form
92013-SUPP Supplement to Application for a Multifamily Housing Proj 92013supp (2).pdf Form
92264 Multifamily Summary Appraisal Report 92264.pdf Form
92329 Property Insurance Schedule Insurable Values for Propert 92329.pdf Form
92330 Mortgagor's Certificate of Actual Cost 92330.pdf Form
92330-A Contractor's Certificate of Actual Cost 92330a.pdf Form
92331 Summary of Cost Certification Review Cost Section 92331.pdf Form
92403-1 Mortgagor's and Architect's Certificate of Payment 92403.1.pdf Form
92403-CA Requisition for Disbursement of Funds 92403ca.pdf Form
92433-CA Owner's Certificate 92433ca.pdf Form
92434-CA OWNER CERTIFICATIONS - SECTION 811 PROGRAM 92434-CA.rtf Form
92435-CA OWNER CERTIFICATIONS -SECTION 202 PROGRAM 92435-CA.pdf Form
92437 Request for Construction Changes on Project Mortgages 92437.pdf Form
92442A-CA Capital Advance Program Construction Contract Cost Plus 92442aca.pdf Form
92442-CA Capital Advance Program Construction Contract Lump Sum 92442ca.pdf Form
92443-CA Construction Contract Incentive Payment 92443ca.pdf Form
92448 Contractor's Requisition Project Mortgages 92448.pdf Form
92450-CA Capital Advance Program Completion Assurance Agreement 92450ca.pdf Form
92452 PERFORMANCE BOND-DUAL OBLIGEE 92452.pdf Form
92452-A PAYMENT BOND 92452a.pdf Form
92452-CA Performance-Payment Bond Dual Obligee 92452ca.pdf Form
92457 HUD Survey Instructions and Report for Insured Multifami 92457.pdf Form
92458 Rent Schedule Low Rent Housing 92458.pdf Form
92464 Request for Approval of Advance of Escrow Funds 92464.pdf Form
92466.1-CA Capital Advance Mixed Finance Program Regulatory Agreeme 92466.1ca.pdf Form
92466-CA Capital Advance Program Regulatory Agreement Housing for 92466ca.pdf Form
92476-A Escrow Agreement Additional Contribution by Sponsors 92476a.pdf Form
92476A-CA Escrow Agreement Additional Contribution by Sponsors 92476aca.pdf Form
92485 Permission to Occupy Project Mortgages 92485.pdf Form
92580-CA Maximum Capital Advance 92580ca.pdf Form
93432-CA Capital Advance Program Mortgage Note 93432-ca.pdf Form
93479 Schedule A Monthly Report for Establishing Net Income 93479.pdf Form
93480 Schedule B Schedule of Disbursements 93480.pdf Form
93481 Schedule C Schedule of Accounts Payable 93481.pdf Form
93566.1-CA Mixed-Finance Capital Advance Program Agreement & Certif 93566.1-ca.pdf Form
93566-CA Capital Advance Program Agreement & Certification 93566-ca.pdf Form
935.2 Affirmative Fair Housing Marketing Plan 935-2a.pdf Form
2328 Contractor's and/or Mortgagor's Cost Breakdown Schedules 2328.pdf Form
2453.1-CA Firm Commitment for Capital Advance Financing Upon Proje 2453.1-ca.pdf Form
2530 Previous Participation Certification 2530.pdf Form
2554 Supplementary Conditions of the Contract for Constructio 2554.pdf Form
9832 Management Entity Profile 9832.pdf Form
9839-A Project Owner's Certification for Owner-Managed Multifam 9839-a.pdf Form
9839-B Project Owner's/Management Agent's Certification for Mul 9839-b.pdf Form
2880 Applicant/RecipientDisclosure/Update Report 2880.pdf Form
SF1199A Direct Deposit Sign-Up Form sf1199a.pdf Form
SF LLL DISCLOSURE OF LOBBYING ACTIVITIES sflllin.pdf Form
HUD 90167-CA Capital Advance Agreement 90167ca.pdf Form and Instruction
92412ca Escrow Agreement for Working Capital 92412ca.pdf Form
SF-425 Federal Financial Report SF-425.pdf Form and Instruction
92408-M HUD Amendment to AIA Document B108 92408m.pdf Form and Instruction
90169-ca Amendment to AIA Document B108, Standard Form of Agreeme 90169ca.pdf Form and Instruction
FM-1006 Verification of Deposit FM-1006.pdf Form
9839c Project Owner's / Borrower's Certification 9839-c.pdf Form
51994 Life-Cycle Cost Analysis 51994.pdf Form and Instruction
90163.1-CA Capital Advance Mixed-Finance Program Use Agreement 90163.1-ca.doc Form
27054 LOCCS Voice Response System Acess Auth Form 27054.pdf Form
50080cah LOCCS Capital Advance Program Payment Voucher 50080cah.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Submission Requirements for the Capital Advance Program Section 202/811	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 891

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HUD-90163-CA	Capital Advance Program Use Agreement	90163.ca.pdf	No		Fillable Printable
Form	90164-CA	Property Insurance Requirements	90164-ca.pdf	No		Fillable Printable
Form	90165-CA	Instructions for the Preparation of Mortgage Deed of Trust or Security Deed	90165ca.pdf	No		Fillable Printable
Form	90166-CA	Capital Advance Program Owner's Attorney's Closing Opinion	90166ca.pdf	No		Fillable Printable
Form	90171-CA	Escrow Agreement for Unpaid Construction Costs	90171ca.pdf	No		Fillable Printable
Form	90170-CA	Escrow Agreement for Off-Site Facilities	90170ca.pdf	No		Fillable Printable
Form	90176-CA	Capital Advance Program Escrow Deposit Agreement	90176ca.pdf	No		Fillable Printable
Form	90177-CA	Capital Advance Program Off-Site Bond	90177ca.pdf	No		Fillable Printable
Form	91732A-CA	Certificate of Incorporation	91732aca.pdf	No		Fillable Printable
Form	90166A-CA	Guide for Opinion Of Owners Counsel	90166a.ca.pdf	No		Fillable Printable
Form	90169.1-CA	Design ArchitectÂ¿s Certification	90169.1-ca.pdf	No		Fillable Printable
Form	90172A-CA	Part I of the Agreement to Enter into a Project Rental Assistance Contract	90172aca.pdf	No		Fillable Printable
Form	90172B-CA	Part II of the Agreement to Enter into a Project Rental Assistance Contract	90172bca.pdf	No		Fillable Printable
Form	90173A-CA	Part I of the Project Rental Assistance Contract	90173aca.pdf	No		Fillable Printable
Form	90173B-CA	Part II of the Project Rental Assistance Contract	90173bca.pdf	No		Fillable Printable
Form	90173C-CA	Project Rental Assistance Contract Amendment	90173cca.pdf	No		Fillable Printable
Form	90175.1-CA	Request for Closing on Completion Certificate of Construction Lender, Mixed-Finance Owner, and General Contractor	90175.1ca.pdf	No		Fillable Printable
Form	90175-CA	Request for Final Closing	90175ca.pdf	No		Fillable Printable
Form	90178-CA	General Depository Agreement	90178-ca.pdf	No		Fillable Printable
Form	90179-CA	LAND APPRAISAL CHECKLIST FOR GROUP HOMES UNDER THE SECTION 811 CAPITAL ADVANCE PROGRAM	90179-ca (2).pdf	No		Fillable Printable
Form	92013	Application for Multifamily Housing Project	92013 (2).pdf	No		Fillable Printable
Form	92013-SUPP	Supplement to Application for a Multifamily Housing Project	92013supp (2).pdf	No		Fillable Printable
Form	92264	Multifamily Summary Appraisal Report	92264.pdf	No		Fillable Printable
Form	92329	Property Insurance Schedule Insurable Values for Property Insurance Coverages	92329.pdf	No		Fillable Printable
Form	92330	Mortgagor's Certificate of Actual Cost	92330.pdf	No		Fillable Printable
Form	92330-A	Contractor's Certificate of Actual Cost	92330a.pdf	No		Fillable Printable
Form	92331	Summary of Cost Certification Review Cost Section	92331.pdf	No		Fillable Printable
Form	92403-1	Mortgagor's and Architect's Certificate of Payment	92403.1.pdf	No		Fillable Printable
Form	92403-CA	Requisition for Disbursement of Funds	92403ca.pdf	No		Fillable Printable
Form	92433-CA	Owner's Certificate	92433ca.pdf	No		Fillable Printable
Form	92434-CA	OWNER CERTIFICATIONS - SECTION 811 PROGRAM	92434-CA.rtf	No		Fillable Printable
Form	92435-CA	OWNER CERTIFICATIONS -SECTION 202 PROGRAM	92435-CA.pdf	No		Fillable Printable
Form	92437	Request for Construction Changes on Project Mortgages	92437.pdf	No		Fillable Printable
Form	92442A-CA	Capital Advance Program Construction Contract Cost Plus	92442aca.pdf	No		Fillable Printable
Form	92442-CA	Capital Advance Program Construction Contract Lump Sum	92442ca.pdf	No		Fillable Printable
Form	92443-CA	Construction Contract Incentive Payment	92443ca.pdf	No		Fillable Printable
Form	92448	Contractor's Requisition Project Mortgages	92448.pdf	No		Fillable Printable
Form	93481	Schedule C Schedule of Accounts Payable	93481.pdf	No		Fillable Printable
Form	92450-CA	Capital Advance Program Completion Assurance Agreement	92450ca.pdf	No		Fillable Printable
Form	92452	PERFORMANCE BOND-DUAL OBLIGEE	92452.pdf	No		Fillable Printable
Form	92452-A	PAYMENT BOND	92452a.pdf	No		Fillable Printable
Form	92452-CA	Performance-Payment Bond Dual Obligee	92452ca.pdf	No		Fillable Printable
Form	92457	HUD Survey Instructions and Report for Insured Multifamily Projects	92457.pdf	No		Fillable Printable
Form	92458	Rent Schedule Low Rent Housing	92458.pdf	No		Fillable Printable
Form	92464	Request for Approval of Advance of Escrow Funds	92464.pdf	No		Fillable Printable
Form	92466.1-CA	Capital Advance Mixed Finance Program Regulatory Agreement	92466.1ca.pdf	No		Fillable Printable
Form	92466-CA	Capital Advance Program Regulatory Agreement Housing for the Elderly or Handicapped (Nonprofit)	92466ca.pdf	No		Fillable Printable
Form	92476-A	Escrow Agreement Additional Contribution by Sponsors	92476a.pdf	No		Fillable Printable
Form	92476A-CA	Escrow Agreement Additional Contribution by Sponsors	92476aca.pdf	No		Fillable Printable
Form	92485	Permission to Occupy Project Mortgages	92485.pdf	No		Fillable Printable
Form	92580-CA	Maximum Capital Advance	92580ca.pdf	No		Fillable Printable
Form	93432-CA	Capital Advance Program Mortgage Note	93432-ca.pdf	No		Fillable Printable
Form	93479	Schedule A Monthly Report for Establishing Net Income	93479.pdf	No		Fillable Printable
Form	93480	Schedule B Schedule of Disbursements	93480.pdf	No		Fillable Printable
Form	93566.1-CA	Mixed-Finance Capital Advance Program Agreement & Certification	93566.1-ca.pdf	No		Fillable Printable
Form	93566-CA	Capital Advance Program Agreement & Certification	93566-ca.pdf	No		Fillable Printable
Form	935.2	Affirmative Fair Housing Marketing Plan	935-2a.pdf	No		Fillable Printable
Form	2328	Contractor's and/or Mortgagor's Cost Breakdown Schedules of Values	2328.pdf	No		Fillable Printable
Form	2453.1-CA	Firm Commitment for Capital Advance Financing Upon Project Completion	2453.1-ca.pdf	No		Fillable Printable
Form	2530	Previous Participation Certification	2530.pdf	No		Fillable Printable
Form	2554	Supplementary Conditions of the Contract for Construction	2554.pdf	No		Fillable Printable
Form	9832	Management Entity Profile	9832.pdf	No		Fillable Printable
Form	9839-A	Project Owner's Certification for Owner-Managed Multifamily Housing Projects	9839-a.pdf	No		Fillable Printable
Form	9839-B	Project Owner's/Management Agent's Certification for Multifamily Housing Projects for Identity-of-Interest or Independent Management Agents	9839-b.pdf	No		Fillable Printable
Form	2880	Applicant/RecipientDisclosure/Update Report	2880.pdf	No		Fillable Printable
Form	SF1199A	Direct Deposit Sign-Up Form	sf1199a.pdf	No		Fillable Printable
Form	SF LLL	DISCLOSURE OF LOBBYING ACTIVITIES	sflllin.pdf	No		Fillable Printable
Form and Instruction	HUD 90167-CA	Capital Advance Agreement	90167ca.pdf	Yes	No	Fillable Printable
Form	92412ca	Escrow Agreement for Working Capital	92412ca.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	SF-425	Federal Financial Report	SF-425.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	92408-M	HUD Amendment to AIA Document B108	92408m.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	90169-ca	Amendment to AIA Document B108, Standard Form of Agreement Between Owner and Achitect	90169ca.pdf	Yes	Yes	Fillable Fileable
Form	FM-1006	Verification of Deposit	FM-1006.pdf	Yes	Yes	Fillable Fileable
Form	9839c	Project Owner's / Borrower's Certification	9839-c.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	51994	Life-Cycle Cost Analysis	51994.pdf	Yes	Yes	Fillable Fileable
Form	90163.1-CA	Capital Advance Mixed-Finance Program Use Agreement	90163.1-ca.doc	Yes	Yes	Fillable Fileable
Other-Certification			92580ca.pdf	Yes	Yes	Fillable Fileable
Form	27054	LOCCS Voice Response System Acess Auth Form	27054.pdf	Yes	Yes	Fillable Fileable
Form	50080cah	LOCCS Capital Advance Program Payment Voucher	50080cah.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 195	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,154	0	7,154
Annual IC Time Burden (Hours)	8,787	175	8,612
Annual IC Cost Burden (Dollars)	0	0	0

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