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

Forms and Documents

Document Name	Status
Form HUD 4123 Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG) Form and Instruction	Modified
83 i ICDBG Program RY1 3 12.docx Supporting Statement A	2012-01-04

IC Document Collections

IC ID	Document Title	Status
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: 201109-2577-001
Status: Historical Active	Previous ICR Reference No: 201105-2577-012
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: Approved with change	Conclusion Date: 01/23/2012
	Date Received in OIRA: 10/12/2011
Terms of Clearance: The agency is no longer requiring the Logic Model for the ICDBG program.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	02/29/2012
Responses	840	0	1,140
Time Burden (Hours)	10,095	0	9,370
Cost Burden (Dollars)	0	0	0

---

Abstract: Title I of the Housing and Community Development Act of 1974 allows for applications of funding for the development of decent housing, environment and economic opportunities for low and moderate-income persons. The Indian Community Development Block Grant (ICDBG) Program for Indian tribes and Alaska Native villages requires applicants to submit information to enable HUD to select the best projects for funding during annual competitions. Eligible applicants are invited to submit grant applications through a Notice of Funding Availability which is posted on www.grants.gov. Required information is submitted through Application for Federal Assistance (SF-424), Applicant/Recipient Disclosure/Update Report (HUD-2880), Acknowledgment of Application Receipt (HUD-2993), and Cost Summary (HUD-4123), Implementation Schedule (HUD-4124). ICDBG recipients are also required to submit periodic information through the Federal Financial Report (SF-425) and the Contract and Subcontract Activity Report (HUD-2516).

---

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:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 23328	04/11/2011
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

IC Title	Form No.	Form Name
Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	HUD 2516, HUD 4123, HUD 4125, SF 424, HUD 2880, HUD 2993, SF-425	Cost Summary ,   Implementation Schedule ,   Application for Federal Assistance ,   Applicant/Receipt Disclosure/Update Report ,   Acknowledgment of Application Receipt ,   Contract and Subcontract Activity ,   Federal Financial Report

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	840	1,140	0	-300	0	0
Annual Time Burden (Hours)	10,095	9,370	0	0	725	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: The number of burden hours for the application submission was reduced because the Federal Cash Transactions Report (SF-272) and the Financial Status Report (SF-269) was replaced by the Federal Financial Report (SF-425). Applicants are no longer required to submit the SF424 SUPP or the HUD-2994-A so that further reduces the burden hours. The inclusion of the Contract and Subcontract Activity (HUD-2516) on the other hand necessitated a modification of the burden hours. A review of ICDBG applications from 2006 through 2011 revealed that approximately 83 grants are awarded each year. Most ICDBG grants take three years to complete – others longer. This calculation is assumes recipients of applicants in fiscal years 2008 through 2011 are continuing to submit the required annual reports (SF-425, HUD-2516, and the ASER).

---

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: 10/12/2011

---