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.docx Supporting Statement A	2014-11-07
ICDBG Enabling Statute Part II.pdf Supplementary Document	2014-11-07
ICDBG Enabling Statute Part I.pdf Supplementary Document	2014-11-07
FY 2014 ICDBG NOFA.pdf Supplementary Document	2014-11-07
IPA.docm Supplementary Document	2014-11-07

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: 201410-2577-002
Status: Historical Active	Previous ICR Reference No: 201109-2577-001
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: Approved without change	Conclusion Date: 04/06/2015
	Date Received in OIRA: 01/07/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	840	0	840
Time Burden (Hours)	7,900	0	10,095
Cost Burden (Dollars)	0	0	0

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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).

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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 64826	10/31/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 902	01/07/2015
Did the Agency receive public comments on this ICR? No

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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 4123, HUD 4125	Cost Summary ,   Implementation Schedule

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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	840	0	0	0	0
Annual Time Burden (Hours)	7,900	10,095	0	0	-2,195	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: In Item 13, it was necessary to adjust the estimated burden hours downward by 2,195 hours due to incorrect estimates in the FY 2011 ICDBG PRA submission. In Item 14, the estimated costs to respondents were increased based on the assumption that the average annual salary increased from $37,440 to $40,000.

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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

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Common Form ICR:  No

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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: 01/07/2015

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