OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

ICR 201708-2502-001 · OMB 2502-0605 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 91710-ORCF Transactional Documents for Mortgagees and Contractors Form Unchanged Repair queued
83C (2502-0605-ORCF).doc Justification for No Material/Nonsubstantive Change Uploaded 2017-08-14 Repair queued
Supporting Statement A2.doc Supporting Statement A Uploaded 2014-05-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
204773 Transactional Documents for Mortgagees and Contractors Form Unchanged
ICR Details
2502-0605 201708-2502-001
Historical Active 201308-2502-009
HUD/OH
Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors
No material or nonsubstantive change to a currently approved collection   Yes
Regular
Approved without change 08/30/2017
Retrieve Notice of Action (NOA) 08/14/2017
  Inventory as of this Action Requested Previously Approved
12/31/2017 12/31/2017 12/31/2017
20,322 0 20,322
44,221 0 44,221
0 0 0
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).
US Code: 12 USC 1715n Name of Law: Misc Housing Insurance
   US Code: 12 USC 1713 Name of Law: Rental Housing Insurance
   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
  
None
2502-AJ05 Final or interim final rulemaking 77 FR 55120 09/07/2012
  78 FR 55282 09/10/2013
79 FR 11114 02/27/2014
Yes
1
IC Title Form No. Form Name
Transactional Documents for Mortgagees and Contractors 91725INST-ORCF, 92325-ORCF, 2-ORCF, 91110-ORCF, 91112-ORCF, 9443-ORCF, 91128-ORCF, 92414-ORCF, 92464-ORCF, 92476-ORCF, 92476B-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, 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, 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, 90014-ORCF, 92455-ORCF, 91725-ORCF, 941-ORCF, 2205a-ORCF, 9839-ORCF, 90024-ORCF, 91111-ORCF, 91116-ORCF, 91117-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, 9001e-ORCF, 9001f-ORCF, 9001g-ORCF, 91725CERT-ORCF, 9001h-ORCF, 9001i-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 Residual Receipts Note (Nonprofit Borrowers) ,   Lease Addendum ,   Surplus Cash Note ,   Maximum Insurable Loan ,   Operator Security Agreement ,   Subordination Agreement Financing ,   Healthcare Regulatory Agreement – Borrower ,   Healthcare Regulatory Agreement – Operator ,   Certificate of Need, (CON), for Health Facility and Assurance of Enforcement of State Standards ,   Security Instrument/ Mortgage/Deed of Trust ,   Healthcare - Facility Note ,   Funds Authorization ,   Borrower Certification and Request Detail ,   Financial Statement Certification-Borrower ,   Borrower’s Certification- Full or Partial Completion of Non-Critical Repairs ,   Agreement for Payment of Real Property Taxes ,   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 ,   Master Lease Addendum ,   Cross-Default Guaranty of Subtenants ,   Master Lease Subordination, Non-Disturbance and Attornment Agreement ,   Guide for Opinion of Master Tenant’s Counsel ,   Healthcare Regulatory Agreement – Master Tenant ,   Master Tenant Estoppel Certificate ,   Master Tenant Security Agreement ,   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 ,   Lender’s Certificate ,   Completion of Assurance ,   Schedule B - Schedule of Disbursements ,   Schedule C - Schedule of Accounts Payable ,   Computation of Surplus Cash, Distributions and Residual Receipts ,   Memo Requesting Post-Commitment Early Start of Construction ,   Design Professional’s Certification of Liability Insurance ,   Design Architect’s Certification ,   Forecasted Staffing Schedule ,   Financial Statement Certification-General Contractor ,   Lender Certification for New Construction, Cost Certifications ,   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 Representative’s 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 ,   Accounts Receivable Financing Certification ,   Intercreditor Agreement ,   Estoppel Certificate ,   Guide for Opinion of Borrower’s Counsel ,   Exhibit A to Opinion of Borrower’s Counsel - Certification ,   Instructions to Guide for Opinion of Borrower’s and Operator’s Counsel ,   Guide for Opinion of Operator’s Counsel, and Certification ,   Request for Waiver of Housing Directive ,   Lender’s FHA Number Request ,   Borrower’s Certificate of Actual Cost ,   Management Certification -Residential Care Facility ,   Contact Sheet ,   Subordination, Non-Disturbance and Attornment Agreement ,   Survey Instructions and Borrower’s Certification ,   Refund Request for Overpayment of Firm Application Exam Fee ,   Addendum to Operating Lease ,   Schedule of Facilities Owned, Operated or Managed
  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 44,221 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
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.
$1,581,864
No
    Yes
    Yes
No
No
No
Uncollected
Nicole Hendrich 202 402-6856
  Yes
 
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/14/2017