Information Collection

Native American Housing Block Grant (NAHBG) Information Collection

IC 189135 under ICR 200905-2577-004 · OMB 2577-0262.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0262 can be found here:

Documents and Forms

Document Name Document Type
Form 4123 a Native American Housing Block Grant (NAHBG) Information Collection Form and Instruction
4125 a Implementation Schedule 4125a Final.pdf Form and Instruction
4123 a Cost Summary Form 4123a Final.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Native American Housing Block Grant (NAHBG) Information Collection	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 1000

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4123 a	Cost Summary	Form 4123a Final.pdf		Yes	No	Fillable Printable
Form and Instruction	4125 a	Implementation Schedule	4125a Final.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: 366	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 52 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	766	766
Annual IC Time Burden (Hours)	24,880	24,880
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.