Housing Improvement Program Application

Bureau of Indian Affairs Housing Improvement Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0184 can be found here:

Documents and Forms

Document Name Document Type
Form BIA 6407 Housing Improvement Program Application Form and Instruction
BIA 6407 Housing Improvement Program Application HIP Application Form 2015-09-15.docx www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

IC Title:	Housing Improvement Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 256

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BIA 6407	Housing Improvement Program Application	HIP Application Form 2015-09-15.docx	https://www.bia.gov/policy-forms/online-forms	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title: Indian Housing Improvement Program, BIA-10	FR Citation: 48 FR 41104

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,000	6,000	2,000
Annual IC Time Burden (Hours)	4,000	2,000	2,000
Annual IC Cost Burden (Dollars)	0	-20,000	20,000

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.