Indian Housing Block Grants (IHBG) Program Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD - 4117 Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Available
Published 60-day FR Notice.pdf	Supplementary Document	Uploaded 2014-03-20	Available
PRA 60 Day FR Notice.docx	Supplementary Document	Uploaded 2014-03-20	Repair queued
83-I.docx	Supporting Statement A	Uploaded 2014-03-20	Available
83c 02 25 2014.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2014-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0218	ICR Reference No: 201402-2577-001
Status: Historical Active	Previous ICR Reference No: 201208-2577-004
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0218
Title: Indian Housing Block Grants (IHBG) Program Reporting
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/03/2014
	Date Received in OIRA: 03/20/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	03/31/2016	03/31/2016
Responses	1,779	0	1,047
Time Burden (Hours)	48,211	0	48,028
Cost Burden (Dollars)	0	0	0

---

Abstract: The Native American Housing Assistance and Self Determination Act (NAHASDA) requires recipients (tribes and tribally designated housing entities) to submit specific information that is necessary for the implementation of low income housing programs using Indian Housing Block Grant funds (IHBG). Recipients of IHBG funds submit Indian Housing Plan/Annual Performance Reports (HUD-52737), Formula Response Forms (HUD-4117), and Formula Challenge Forms (HUD-4119). Recipients of IHBG funds submit an Indian Housing Plan/Annual Performance Report (HUD-52737) annually using a Word version. HUD intends to make available an Excel and EPIC version of the form that requests exactly the same information as does the Word version. The automated capabilities of the Excel EPIC versions improve the quality of the submission and simplify the completion of the form, while reducing paperwork burden.

---

Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

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:
	77 FR 49005	08/15/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 65710	10/30/2012
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Indian Housing Block Grants (IHBG) Program Reporting	HUD 4117, HUD-4119, HUD-52737 -Excel, HUD-52737, HUD - 4117, HUD - 4117, HUD 52736-B, HUD 52736, HUD 4117	Appendix A1: Conveyance of Formula Current Assisted Stock (FCAS) Units ,   Formula Response Form ,   Depository Agreements 110413 ,   Depository Agreement 110413 ,   Formula Response Form ,   Appendix A1 Conveyance of Formula Current Assisted Stock (FCAS) Units ,   Challenging U.S. Decennial Census Data: Guidelines for the Indian Housing Block Grant Formula ,   Indian Housing Plan/Annual Performance Report ,   Indian Housing Plan/Annual Performance Report

---

ICR Summary of Burden

table that charts list 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	1,779	1,047	0	0	732	0
Annual Time Burden (Hours)	48,211	48,028	0	0	183	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: This change adds two new forms to this information collection. If the recipient of IHBG funds is accumulating funds in a reserve account, the recipient must have a depository agreement with its financial institution provisions regarding disbursement of funds (HUD-52736-A). If a recipient has received approval to invest IHBG funds and seeks to have the funds managed by a broker/dealer, there must be a depository agreement signed by both the IHBG recipient and the broker/dealer (HUD-52736-B. The new forms are not submitted to HUD, they are kept on file by the IHBG recipient. They are a onetime form, and take approximately fifteen minutes (.25 hours) to fill out, review and complete. Each IHBG grantee is likely to have these forms, but as they are not submitted annually and only edited when the IHBG recipient changes financial institutions or broker/dealers, the changes will have no significant impact on information collection burden. The only reason the electronic response rate went down significantly is because the depository agreements are kept on file, and not submitted to HUD.

---

Annual Cost to Federal Government: $729,585

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: 03/20/2014

---