Information Collection

Indian Housing Block Grants (IHBG) Program Reporting

IC 27892 under ICR 201708-2577-001 · OMB 2577-0218.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.