Information Collection

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

IC 189134 under ICR 200905-2577-003 · OMB 2577-0263.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0263 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4125 Recovery Act Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction
2880 Applicant/Recipient Disclosure/Update Report 2880.pdf	Form and Instruction
4123 Cost Summary 4123.pdf	Form and Instruction
4125 Implementation Schedule 4125.pdf	Form and Instruction

IC Title:

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

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 1003

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4125	Implementation Schedule	4125.pdf	Yes	No	Fillable Printable
Form and Instruction	2880	Applicant/Recipient Disclosure/Update Report	2880.pdf	Yes	No	Fillable Printable
Form and Instruction	4123	Cost Summary	4123.pdf	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 83

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	185	185
Annual IC Time Burden (Hours)	6,295	6,295
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.