Information Collection

Statement/application And Reports For Cdbg/jobs Act

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded

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