Indian Housing Block Grants (IHBG) Program Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HUD-XXXXX IHBG Competitive APR	Form and Instruction	Modified	Repair queued
Form HUD-53246 Cost Summary	Form and Instruction	Modified	Repair queued
Form HUD-52736-B Depository Agreement - Brokers/Dealers	Form and Instruction	Modified	Repair queued
Form HUD-52736-A Depository Agreement - Banking Accounts	Form and Instruction	Modified	Repair queued
Form HUD-4119 Challenging U.S. Census Data	Form	Modified	Repair queued
Form HUD-4119 Appendix Challenging Population Projections Data	Form	Modified	Repair queued
Form HUD-4119 Appendix D	Form	Modified	Repair queued
Form HUD-4119 Appendix C	Form	Modified	Repair queued
Form HUD-4119 Appendix B	Form	Modified	Repair queued
Form HUD-4117 FY 2020 Formula Response Form	Form and Instruction	Modified	Available
Form HUD-4117 Appendices A-D	Form and Instruction	Modified	Repair queued
Form HUD-53247 Implementation Schedule	Form and Instruction	Modified	Repair queued
Form HUD-52737 Indian Housing Annual Performance Report - Fillable	Form and Instruction	Modified	Repair queued
Form HUD-52737 Energy and Performance Information Center (EPIC) Indian Housing Plan/Annual Performance Report	Form and Instruction	Modified	Repair queued
Form HUD-52737 Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Repair queued
30-day published - 2021-07553.pdf	Supplementary Document	Uploaded 2021-05-14	Repair queued
60-day FRN published - 2021-01480.pdf	Supplementary Document	Uploaded 2021-05-14	Repair queued
H.R. 1625- Consolidated Appropriations Act, 2018 (P.L. 115-141).docx	Supplementary Document	Uploaded 2019-05-20	Repair queued
NAHASDSA Statute 2010.pdf	Supplementary Document	Uploaded 2019-05-20	Repair queued
24 CFR Part 1000.docx	Supplementary Document	Uploaded 2019-05-20	Repair queued
Supporting Statement - IHBG 83 i.docx	Supporting Statement A	Uploaded 2021-05-14	Repair queued
PTA Form - IHBG.pdf	Supplementary Document	Uploaded 2019-04-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	IHBG Competitive APR
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Cost Summary
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Depository Agreement - Brokers/Dealers
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Depository Agreement - Banking Accounts
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form	Modified	Challenging U.S. Census Data
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form	Modified	Challenging Population Projections Data
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form	Modified	Appendix D
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form	Modified	Appendix C
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form	Modified	Appendix B
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	FY 2020 Formula Response Form
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Appendices A-D
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Implementation Schedule
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Indian Housing Annual Performance Report - Fillable
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified	Energy and Performance Information Center (EPIC) Indian Housing Plan/Annual Performance Report
27892	Indian Housing Block Grants (IHBG) Program Reporting	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0218	ICR Reference No: 202105-2577-003
Status: Historical Active	Previous ICR Reference No: 201903-2577-003
Agency/Subagency: HUD/PIH	Agency Tracking No: 2577-0218
Title: Indian Housing Block Grants (IHBG) Program Reporting
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/05/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/14/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2025	36 Months From Approved	11/30/2022
Responses	3,341	0	2,395
Time Burden (Hours)	104,183	0	140,805
Cost Burden (Dollars)	0	0	0

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Abstract: The forms included in this collection are associated with the Indian Housing Block Grant (IHBG) program, as authorized under Title I of the Native American Housing Assistance and Self-Determination Reauthorization Act (NAHASDA) (25 U.S.C. 4101). The IHBG program provides funding to eligible Native American tribes and tribally designated housing entities (TDHEs) in the form of formula-based allocations and competitive awards.

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Authorizing Statute(s): US Code: 44 USC Chapter 35 as amended Name of Law: Section 3506 of the Paperwork Reduction Act of 1995
  

Citations for New Statutory Requirements: US Code: 44 USC Chapter 35 as amended Name of Law: Paperwork Reduction Act of 1995

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 6910	01/25/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 19278	04/13/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Indian Housing Block Grants (IHBG) Program Reporting	HUD-4119, HUD-4119, HUD-4119 Appendix A, HUD-4119, HUD-52736-A, HUD-52736-B, HUD-53246, HUD-52737, HUD-4119, HUD-52737, HUD-53247, HUD-4117, HUD-4117, HUD-XXXXX	Energy and Performance Information Center (EPIC) Indian Housing Plan/Annual Performance Report ,   Indian Housing Annual Performance Report - Fillable ,   Implementation Schedule ,   Appendices A-D ,   FY 2020 Formula Response Form ,   Appendix B ,   Appendix C ,   Appendix D ,   Challenging Population Projections Data ,   Challenging U.S. Census Data ,   Depository Agreement - Banking Accounts ,   Depository Agreement - Brokers/Dealers ,   Cost Summary ,   IHBG Competitive APR

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,341	2,395	0	946	0	0
Annual Time Burden (Hours)	104,183	140,805	0	-36,622	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: HUD-XXXX (IHBG Competitive Annual Performance Report) On February 14, 2019, OMB issued a Notice of Action approving an APR for the IHBG Competitive program. That APR was based on the APR used for the IHBG formula program as the IHBG Competitive NOFA’s reporting requirements had not been finalized prior to submission of the IHBG Competitive PRA Package. This information collection pertains to the IHBG Competitive APR that is based on reporting requirements contained in the NOFA. HUD-4117 (Formula Response Form) The number of respondents submitting a HUD-4117 increased from 300 to 792. This is due to the new requirement that all 792 IHBG recipients certify tribal enrollment annually. Previously, the form had been used by an estimated 300 recipients only when a challenge was made to the formula allocation. The decrease in burden hours is due to the elimination of several IHBG Competitive application forms.

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Annual Cost to Federal Government: $1,425,274

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/14/2021

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