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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD 4123 Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified	Repair queued
83 i ICDBG Program RY.docx	Supporting Statement A	Uploaded 2011-07-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27850	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0191	ICR Reference No: 201105-2577-012
Status: Historical Inactive	Previous ICR Reference No: 200901-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0191
Title: Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 09/23/2011
	Date Received in OIRA: 07/29/2011
Terms of Clearance: HUD must be sure to complete the short statement explaining burden changes.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	36 Months From Approved	02/29/2012
Responses	1,140	0	1,140
Time Burden (Hours)	9,370	0	9,370
Cost Burden (Dollars)	0	0	0

---

Abstract: Application for funding of Indian and Alaska Native Community Development Block Grants for the development of decent housing, environment and economic opportunities for low and moderate-income persons. For the Indian Community Development Block Grant (ICDBG) Program, tribes are required to keep records of activities. These records include statements of conditions, certifications of activities/plans and other items. This paperwork submission addresses the final rule for record keeping and reporting requirements involved in implementing subsection (h) of the 1974 Housing and Community Development Act by revising HUD's ICDBG program regulations at 24 CFR § 1003 implements § 1003.209 entitled "Prohibition on use of assistance for employment relocation activities" which describes the ICDBG "job pirating" provisions. The final rule also amends § 1003.505 entitled "Records to be Maintained" to ensure that appropriate recordkeeping requirements are followed.

---

Authorizing Statute(s): US Code: 42 USC 5305 Name of Law: Housing and Community Development Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2577-AC78	Final or interim final rulemaking	74 FR 8	01/13/2009

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 23328	04/26/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 45591	07/29/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	HUD 2516, SF 425, SF 424 Supp, HUD 96010, SF 269, SF 272, HUD 4123, HUD 4125, SF 424, HUD 2880, HUD 2993, HUD 2994-A	Cost Summary ,   Implementation Schedule ,   Application for Federal Assistance ,   Applicant/Receipt Disclosure/Update Report ,   Acknowledgment of Application Receipt ,   You are our Client! ,   Survey on Ensuring Equal Opportunity for Applicants ,   Logic Model ICDBG ,   Financial Status Reports ,   Federl Cash Transaction Report ,   Contract and Subcontract Activity ,   Federal Financial Request

---

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/29/2011

---