Information Collection

Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)

IC 27595 under ICR 201006-2528-003 · OMB 2528-0206.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0206 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SFLLL Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)	Form and Instruction
2993.pdf	Other-Acknowledgment of Receipt
SFLLL DISCLOSURE OF LOBBYING ACTIVITIES sflllin.pdf	Form and Instruction
HUD 424-cb Budget Worksheet 424-cb.xls	Form and Instruction
HUD 96010 Logic Model Logic Model.xls	Form and Instruction
SF 424 Application for Federal Assistance sf424.doc	Form and Instruction
SF 424 sup Survey on Ensuring Equal Opportunity for Applicants sf424sup.doc	Form and Instruction
HUD 27300 America's Affordable Communities Initiative 27300.doc	Form and Instruction
HUD 2994-A Your are our Client 2994-A.doc	Form and Instruction
HUD 2880 Applicant/Recipient Disclosure/Update Report 2880.doc	Form and Instruction
HUD 40077 Grant Progress Report 40077.pdf portal.hud.gov/portal/page/portal/HUD/program_offices/administration/hudclips/forms	Form

IC Title:

Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	SFLLL	DISCLOSURE OF LOBBYING ACTIVITIES	sflllin.pdf		No		Fillable Printable
Other-Acknowledgment of Receipt			2993.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 424-cb	Budget Worksheet	424-cb.xls		No		Fillable Printable
Form and Instruction	HUD 96010	Logic Model	Logic Model.xls		Yes	Yes	Fillable Fileable
Form and Instruction	SF 424	Application for Federal Assistance	sf424.doc		Yes	Yes	Fillable Fileable
Form and Instruction	SF 424 sup	Survey on Ensuring Equal Opportunity for Applicants	sf424sup.doc		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 27300	America's Affordable Communities Initiative	27300.doc		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2994-A	Your are our Client	2994-A.doc		Yes	Yes	Fillable Fileable
Form and Instruction	HUD 2880	Applicant/Recipient Disclosure/Update Report	2880.doc		Yes	Yes	Fillable Fileable
Form	HUD 40077	Grant Progress Report	40077.pdf	http://portal.hud.gov/portal/page/portal/HUD/program_offices/administration/hudclips/forms	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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-196	256
Annual IC Time Burden (Hours)	1,050	-5,146	6,196
Annual IC Cost Burden (Dollars)	0	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.