Information Collection

Statement/application And Reports For Cdbg/jobs Act

IC 145087 under ICR 198307-2506-001 · OMB 2506-0070.

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STATEMENT/APPLICATION AND REPORTS FOR CDBG/JOBS ACT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HUDADMSC	No	No
Form	HUD-4124	No	No
Form	SF-424	No	No
Form	HUD-4950	No	No
Form	INDIANS	No	No
Form	HUD-4121	No	No
Form	4125	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,232	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,232	2,232
Annual IC Time Burden (Hours)	94,720	94,720
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.