Information Collection

CDBG-R Program

IC 188811 under ICR 200904-2506-001 · OMB 2506-0184.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2506-0184 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF 424 Applicaiton for Federal Assistance CDBG-R Program	Form and Instruction
Certifications for the regular CDBG Program.docx	Other-Certification
General Certifications for CDBG-R.docx	Other-Certification
SF 424 Applicaiton for Federal Assistance sf424.doc	Form and Instruction

IC Title:

CDBG-R Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 91.225

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Certification		Yes	No	Paper Only
Other-Certification		Yes	No	Paper Only
Form and Instruction	SF 424	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,194

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	5,970	5,970
Annual IC Time Burden (Hours)	225,666	225,666
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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