Information Collection

Housing Improvement Program Application

IC 213085 under ICR 201812-1076-002 · OMB 1076-0184.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.