Information Collection

Application Requirements For Indian Home Program

IC 146176 under ICR 199404-2577-002 · OMB 2577-0191.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION REQUIREMENTS FOR INDIAN HOME PROGRAM	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	HUD-4121-I	No	No
Form	4123-I	No	No
Form	4125-I	No	No
Form	4126-I	No	No
Form	UD-4122-I	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	5,325	5,325
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.