Information Collection

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

IC 27850 under ICR 201804-2577-006 · OMB 2577-0191.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0191 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-2880 Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	Form and Instruction
HUD-2880 Applicant/Recipient Disclosure/Update Report SF 2880.pdf	Form and Instruction
HUD-4123 Cost Summary HUD-4123 Cost Summary.pdf	Form and Instruction
HUD-4125 Implementation Schedule - Indian Community Development B HUD 4125 Implementation Schedule.pdf	Form and Instruction

IC Title:

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

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 1003

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-2880	Applicant/Recipient Disclosure/Update Report	SF 2880.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	HUD-4123	Cost Summary	HUD-4123 Cost Summary.pdf	Yes	Yes	Fillable Printable
Form and Instruction	HUD-4125	Implementation Schedule - Indian Community Development Block Grant (ICDBG)	HUD 4125 Implementation Schedule.pdf	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: 240

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	709	-131	840
Annual IC Time Burden (Hours)	7,800	-100	7,900
Annual IC Cost Burden (Dollars)	0	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.