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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.