Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)

Forms and Documents

Document Name	Status
Form SF 424 Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG) Form and Instruction	Modified
2577-0191 83-I.DOC Supplementary Document	2006-08-18
appchklst.doc Supplementary Document	2006-08-18
SS 2577-0191.doc Supporting Statement A	2006-08-18

IC Document Collections

IC ID	Document Title	Status
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG) Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0191	ICR Reference No: 200608-2577-002
Status: Historical Active	Previous ICR Reference No: 200306-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/27/2006
	Date Received in OIRA: 08/22/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2009	36 Months From Approved	10/31/2006
Responses	1,225	0	1,225
Time Burden (Hours)	9,325	0	9,325
Cost Burden (Dollars)	0	0	0

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Abstract: Application for funding of Indian and Alaska Native Community Development Block Grants for the development of decent housing, environment, and economic opportunities for low and moderate- income persons.

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Authorizing Statute(s): None

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:
	71 FR 118	06/20/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 162	08/22/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	SF 424 Supp, HUD 96010, SF 269, SF 272, HUD 4123, HUD 4125, SF 424, HUD 2880, HUD 2993, HUD 2994-A	Application for Federal Assistance ,   Applicant/Receipt Disclosure/Update Report ,   Financial Status Reports ,   Federl Cash Transaction Report ,   Logic Model ICDBG ,   Acknowledgment of Application Receipt ,   You are our Client! ,   Survey on Ensuring Equal Opportunity for Applicants ,   Cost Summary ,   Implementation Schedule

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ICR Summary of Burden

	Total Approved	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	1,225	1,225	0	0	0	0
Annual Time Burden (Hours)	9,325	9,325	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: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 08/22/2006

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