Indian Housing Block Grants (IHBG) Program Reporting

Forms and Documents

Document Name	Status
Form HUD-4119 Indian Housing Block Grants (IHBG) Program Reporting Form and Instruction	Modified
OMB83-c_08112017_v2.pdf Justification for No Material/Nonsubstantive Change	2017-08-23
83-I Revised 03.18.2016 2577-0218.docx Supporting Statement A	2016-03-22
2016 IHBG IPA - Updated.docx Supplementary Document	2016-02-12
NAHASDSA 2010.pdf Supplementary Document	2016-01-07
24 CFR Part 1000.docx Supplementary Document	2016-01-07

IC Document Collections

IC ID	Document Title	Status
27892	Indian Housing Block Grants (IHBG) Program Reporting Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0218	ICR Reference No: 201708-2577-001
Status: Historical Inactive	Previous ICR Reference No: 201512-2577-005
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0218
Title: Indian Housing Block Grants (IHBG) Program Reporting
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 08/30/2017
	Date Received in OIRA: 08/23/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	07/31/2019	07/31/2019
Responses	1,779	0	1,779
Time Burden (Hours)	47,967	0	47,967
Cost Burden (Dollars)	0	0	0

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Abstract: The Native American Housing Assistance and Self Determination Act (NAHASDA) requires recipients (tribes and tribally designated housing entities) to submit specific information that is necessary for the implementation of low income housing programs using Indian Housing Block Grant funds (IHBG). Recipients of IHBG funds submit Indian Housing Plan/Annual Performance Reports (HUD-52737), Formula Response Forms (HUD-4117), and Formula Challenge Forms (HUD-4119). Recipients of IHBG funds submit an Indian Housing Plan/Annual Performance Report (HUD-52737) annually using a Word version. HUD intends to make available an Excel and EPIC version of the form that requests exactly the same information as does the Word version. The automated capabilities of the Excel EPIC versions improve the quality of the submission and simplify the completion of the form, while reducing paperwork burden.

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: US Code: 44 USC Chapter 35 as amended Name of Law: Paperwork Reduction Act of 1995

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 509	01/06/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 15545	03/23/2016
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Indian Housing Block Grants (IHBG) Program Reporting	HUD-4119 - Redlined Version, HUD-4119 (Clean Version), HUD-4119	Challenging US Decennial Census Data: Guidelines for the Indian Housing Block Grant Formula ,   Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula ,   Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula

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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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $729,585

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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:  No

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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: 08/23/2017

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