Indian Housing Block Grants (IHBG) Program Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0218 can be found here:

Documents and Forms

Document Name Document Type
Form HUD-4119 Indian Housing Block Grants (IHBG) Program Reporting Form and Instruction
HUD-4119 Challenging US Decennial Census Data: Guidelines for the 4119.doc Form and Instruction
HUD-4119 - Redline Challenging U.S. Census Data: Guidelines for the Indian 2017 Census Challenge Guidelines Redline Version.docx Form and Instruction
HUD-4119 (Clean Ve Challenging U.S. Census Data: Guidelines for the Indian 2017 Census Challenge Guidelines6-1versionclean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Indian Housing Block Grants (IHBG) Program Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 1000

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-4119	Challenging US Decennial Census Data: Guidelines for the Indian Housing Block Grant Formula	4119.doc	Yes	Yes	Fillable Printable
Form and Instruction	HUD-4119 - Redlined Version	Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula	2017 Census Challenge Guidelines Redline Version.docx	Yes	Yes	Fillable Printable
Form and Instruction	HUD-4119 (Clean Version)	Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula	2017 Census Challenge Guidelines6-1versionclean.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 366	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,779	1,779
Annual IC Time Burden (Hours)	47,967	47,967
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.