Bureau of Indian Affairs Housing Improvement Program

Forms and Documents

Document Name	Status
Government Performance Results Act Reporting Form Form	Unchanged
Tribal Annual Performance Report Form and Instruction	Unchanged
Addendum to Application Form	Unchanged
Form BIA 6407 Housing Improvement Program Application Form and Instruction	Unchanged
87 FR 9640.pdf Supplementary Document	2022-02-22
48 FR 41104 September 13, 1983.pdf Supplementary Document	2022-02-14
60-Day FRN (86 FR 50153).pdf Supplementary Document	2022-02-14
IAFR001089___SSA (1076-0184)(02-2022).docx Supporting Statement A	2022-02-14
25 USC 13.pdf Supplementary Document	2014-09-10

IC Document Collections

IC ID	Document Title	Status
234446	Government Performance Results Act Reporting Form Form	Unchanged
234445	Tribal Annual Performance Report Form and Instruction	Unchanged
213185	Addendum to Application Form	Unchanged
213085	Housing Improvement Program Application Form and Instruction	Unchanged

ICR Details

OMB Control No: 1076-0184	ICR Reference No: 202202-1076-002
Status: Received in OIRA	Previous ICR Reference No: 201812-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No: IAFR001089
Title: Bureau of Indian Affairs Housing Improvement Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/23/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2022
Responses	12,523	12,523
Time Burden (Hours)	5,185	5,185
Cost Burden (Dollars)	0	0

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Abstract: Submission of this information allows BIA to determine applicant eligibility for housing services based upon the criteria referenced in 25 CFR 256.9 (repairs and renovation assistance) and 256.10 (replacement housing assistance). Enrolled members of federally recognized tribes, who live within a tribe’s designated and approved service area, submit information on an application form. The information is collected on a BIA Form 6407, “Housing Assistance Application,” and includes: applicant information; family information including; income information; housing information including; land information; general information; and an applicant certification including. The program also seeks OMB approval for two additional collections. The Tribal Annual Performance Report (TAPR) Excel workbook file, is a tool created to simplify the process for the tribal servicing housing office to verify eligibility, rank, and rate each application received. The Government Performance Results Act (GPRA) Reporting Form is a tool created to simplify the process for the tribal servicing housing office to report the amount of administrative and construction funds spent each quarter of the first fiscal year after receipt of HIP funding.

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Authorizing Statute(s): US Code: 25 USC 13 Name of Law: Expenditures of Appropriations by Bureau
  

Citations for New Statutory Requirements: None

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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:
	86 FR 50153	09/07/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9640	02/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Addendum to Application	N/A	HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407
Government Performance Results Act Reporting Form	N/A	Government Performance Results Act (GPRA) Reporting Form
Housing Improvement Program Application	BIA 6407	Housing Improvement Program Application
Tribal Annual Performance Report	N/A	Tribal Annual Performance Report (TAPR) Excel workbook

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ICR Summary of Burden

	Total Request	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	12,523	12,523	0	0	0	0
Annual Time Burden (Hours)	5,185	5,185	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $28,800

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.     Yes

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.     Yes

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? No

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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: 02/23/2022

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