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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 272 Federl Cash Transaction Report	Form and Instruction	Modified	Repair queued
Form SF 269 Financial Status Reports	Form and Instruction	Modified	Available
Form HUD 96010 Logic Model ICDBG	Form and Instruction	Modified	Available
Form SF 424 Supp Survey on Ensuring Equal Opportunity for Applicants	Form and Instruction	Modified	Repair queued
Form HUD 2994-A You are our Client!	Form and Instruction	Modified	Repair queued
Form HUD 2993 Acknowledgment of Application Receipt	Form and Instruction	Modified	Repair queued
Form HUD 2880 Applicant/Receipt Disclosure/Update Report	Form and Instruction	Modified	Repair queued
Form SF 424 Application for Federal Assistance	Form and Instruction	Modified	Repair queued
Form HUD 4125 Implementation Schedule	Form and Instruction	Modified	Available
Form HUD 4123 Cost Summary	Form and Instruction	Modified	Available
ICR 2577-0191.doc	Supporting Statement A	Uploaded 2009-01-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Federl Cash Transaction Report
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Financial Status Reports
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Logic Model ICDBG
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Survey on Ensuring Equal Opportunity for Applicants
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	You are our Client!
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Acknowledgment of Application Receipt
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Applicant/Receipt Disclosure/Update Report
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Application for Federal Assistance
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Implementation Schedule
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Cost Summary

ICR Details

OMB Control No: 2577-0191	ICR Reference No: 200901-2577-001
Status: Historical Active	Previous ICR Reference No: 200608-2577-002
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: 02/26/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/15/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved	10/31/2009
Responses	1,140	0	1,225
Time Burden (Hours)	9,370	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. For the Indian Community Development Block Grant (ICDBG) Program, tribes are required to keep records of activities. These records include statements of conditions, certifications of activities/plans and other items. This paperwork submission addresses the final rule for record keeping and reporting requirements involved in implementing subsection (h) of the 1974 Housing and Community Development Act by revising HUD’s ICDBG program regulations at 24 CFR § 1003 implements § 1003.209 entitled “Prohibition on use of assistance for employment relocation activities” which describes the ICDBG “job pirating” provisions. The final rule also amends § 1003.505 entitled “Records to be Maintained” to ensure that appropriate recordkeeping requirements are followed.

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Authorizing Statute(s): US Code: 42 USC 5305 Name of Law: Housing and Community Development Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AC78	Final or interim final rulemaking	74 FR 8	01/13/2009

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

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	Cost Summary ,   Implementation Schedule ,   Application for Federal Assistance ,   Applicant/Receipt Disclosure/Update Report ,   Acknowledgment of Application Receipt ,   You are our Client! ,   Survey on Ensuring Equal Opportunity for Applicants ,   Logic Model ICDBG ,   Financial Status Reports ,   Federl Cash Transaction Report

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ICR Summary of Burden

table that charts list 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	1,140	1,225	0	-85	0	0
Annual Time Burden (Hours)	9,370	9,325	0	45	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change to Item 13 of the OMB Form 83-I resulted from adding an additional 45 hours. It is estimated approximately 15 respondents will annually submit a statement on the employment relocation activities. In addition to number of respondents displayed for the 2006 submission should have ben 1125 not 1225. The number of responses displayed is correct.

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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: 01/15/2009

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