Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

Forms and Documents

Document Name	Status
Form 90011-ORCF Transactional Documents for Mortgagees and Contractors Form and Instruction	New
Summary of Public Comments on FR-5623 N-02- FHA 232 Documents January 11....docx Supplementary Document	2013-02-27
Title_II_Sec_221_NHA.doc Supplementary Document	2012-11-19
Section 207 of NHA.doc Supplementary Document	2012-11-19
NHA-section 223.doc Supplementary Document	2012-11-19
NHA 207 221 223 231 241.doc Supplementary Document	2012-11-19
12 U.S.C. 1701s.doc Supplementary Document	2012-11-19
Supporting Statement A 022113.doc Supporting Statement A	2013-02-21
232 Proposed Rule.pdf Supplementary Document	2012-10-30
ORCF - Initial Privacy Assessment (IPA).doc Supplementary Document	2012-11-21

IC Document Collections

IC ID	Document Title	Status
204773	Transactional Documents for Mortgagees and Contractors Form and Instruction	New

ICR Details

OMB Control No: 2502-0605	ICR Reference No: 201210-2502-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/OH	Agency Tracking No:
Title: Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2013
	Date Received in OIRA: 11/21/2012
Terms of Clearance: The submission process for this collection requires at least one hard copy from the respondent(s) in addition to an electronic copy. During the review process, HUD committed to making an effort to switch to an electronic submission process to the greatest extent feasible. Accordingly, this collection is being approved for one year in order to monitor the submission process associated with this collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved
Responses	20,322	0	0
Time Burden (Hours)	44,966	0	0
Cost Burden (Dollars)	0	0	0

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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).

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2502-AJ05	Final or interim final rulemaking	77 FR 55120	09/07/2012

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 26304	05/03/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 69870	11/21/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Transactional Documents for Mortgagees and Contractors	9001e-ORCF, 9001f-ORCF, 9001g-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, 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, 93480-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	Lender Narrative – Operating Loss Loan ,   Lease Addendum ,   Subordination, Non-Disturbance and Attornment Agreement ,   Survey Instructions and Borrower’s Certification ,   Surplus Cash Note ,   Certification for Submission of Electronic Firm Application ,   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 ,   Addendum to Operating Lease ,   Schedule of Facilities Owned, Operated or Managed ,   Consolidated Certifications – Contractor ,   Auditor Certification ,   Borrower's Certification - Completion of Critical Repairs ,   Building Code Certification ,   Lender’s Certificate ,   Completion of Assurance ,   Subordination Agreement Financing ,   Healthcare Regulatory Agreement – Borrower ,   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 ,   Borrower’s 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 ,   Schedule B - Schedule of Disbursements ,   Computation of Surplus Cash, Distributions and Residual Receipts ,   Memo Requesting Post-Commitment Early Start of Construction ,   Design Professional’s Certification of Liability Insurance ,   Operator Security Agreement ,   Healthcare Regulatory Agreement – Operator ,   Monthly Report for Establishing Net Income ,   Schedule C - Schedule of Accounts Payable ,   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 ,   Maximum Insurable Loan ,   Accounts Receivable Financing Certification ,   Intercreditor Agreement ,   Estoppel Certificate ,   Guide for Opinion of Borrower’s Counsel ,   Exhibit A to Opinion of Borrower’s Counsel - Certification ,   Contact Sheet ,   Refund Request for Overpayment of Firm Application Exam Fee ,   Financial Statement Certification-Borrower ,   Agreement for Payment of Real Property Taxes ,   Residual Receipts Note (Nonprofit Borrowers) ,   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 ,   Lender Narrative – Blended Rate 2 Stage, Final Firm Submission ,   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 ,   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 – Existing Buildings with New Construction Blended Rate 2 Stage, Initial Firm Submission

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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	0	0	20,322	0	0
Annual Time Burden (Hours)	44,966	0	0	44,966	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commissioner has directed that the control, management operations, and oversight of the Section 232 Program be transferred from the Office of Multifamily Housing Programs to the Office of Healthcare Programs. Therefore, all forms related to that program have been eliminated from Multifamily submissions and will become the responsibility of the Office of Healthcare Programs. Also, on September 7, 2012, Office of Residential Care Facilities (ORCF) published a final rule on Strengthening Accountability in the Section 232 Healthcare Facility Insurance Program. This rule was designed to improve the efficiency of and enhance the risk management of the Section 232 program.

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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

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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

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/21/2012

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