Information Collection

Community Development Block Grant (cdbg) Entitlement Program (statement Of Objectives And Use Of Funds, Certifications)

IC 145049 under ICR 198311-2506-001 · OMB 2506-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0043 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) ENTITLEMENT PROGRAM (STATEMENT OF OBJECTIVES AND USE OF FUNDS, CERTIFICATIONS)	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	4011, 4121	No	No
Form	4122, 4123	No	No
Form	4125, 4126	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 670	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	670	670
Annual IC Time Burden (Hours)	20,200	20,200
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.