Bureau of Indian Affairs Housing Improvement Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Government Performance Results Act (GPRA) Reporting Form	Form	Unchanged	Repair queued
Government Performance Results Act Reporting Form	Form	Unchanged	Repair queued
Tribal Annual Performance Report (TAPR) Excel workbook	Form and Instruction	Unchanged	Repair queued
Tribal Annual Performance Report	Form and Instruction	Unchanged	Repair queued
HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407	Form	Unchanged	Repair queued
Addendum to Application	Form	Unchanged	Repair queued
Form BIA 6407 Housing Improvement Program Application	Form and Instruction	Unchanged	Repair queued
Form BIA 6407 Housing Improvement Program Application	Form and Instruction	Unchanged	Available
90 FR 20189.pdf	Supplementary Document	Uploaded 2025-05-12	Available
86 FR 50156 (September 7, 2021).pdf	Supplementary Document	Uploaded 2025-03-11	Repair queued
89 FR 52076.pdf	Supplementary Document	Uploaded 2024-06-21	Repair queued
48 FR 41104 September 13, 1983.pdf	Supplementary Document	Uploaded 2022-02-14	Repair queued
IAFR001317__OMB1076-0184_SSA.docx	Supporting Statement A	Uploaded 2025-03-11	Repair queued
25 USC 13.pdf	Supplementary Document	Uploaded 2014-09-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234446	Government Performance Results Act Reporting Form	Form	Unchanged	Government Performance Results Act (GPRA) Reporting Form
234446	Government Performance Results Act Reporting Form	Form	Unchanged
234445	Tribal Annual Performance Report	Form and Instruction	Unchanged	Tribal Annual Performance Report (TAPR) Excel workbook
234445	Tribal Annual Performance Report	Form and Instruction	Unchanged
213185	Addendum to Application	Form	Unchanged	HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407
213185	Addendum to Application	Form	Unchanged
213085	Housing Improvement Program Application	Form and Instruction	Unchanged	Housing Improvement Program Application
213085	Housing Improvement Program Application	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1076-0184	ICR Reference No: 202405-1076-022
Status: Active	Previous ICR Reference No: 202202-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No: IAFR001317
Title: Bureau of Indian Affairs Housing Improvement Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/28/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/12/2025
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	12,523	0	12,523
Time Burden (Hours)	5,185	0	5,185
Cost Burden (Dollars)	0	0	0

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Abstract: Submission of this information allows BIA to determine applicant eligibility for housing services based upon the criteria referenced in 25 CFR 256.9 (repairs and renovation assistance) and 256.10 (replacement housing assistance). Enrolled members of federally recognized tribes, who live within a tribe’s designated and approved service area, submit information on an application form. The information is collected on a BIA Form 6407, “Housing Assistance Application,” and includes: applicant information; family information including; income information; housing information including; land information; general information; and an applicant certification including. The program also seeks OMB approval for two additional collections. The Tribal Annual Performance Report (TAPR) Excel workbook file, is a tool created to simplify the process for the tribal servicing housing office to verify eligibility, rank, and rate each application received. The Government Performance Results Act (GPRA) Reporting Form is a tool created to simplify the process for the tribal servicing housing office to report the amount of administrative and construction funds spent each quarter of the first fiscal year after receipt of HIP funding.

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Authorizing Statute(s): US Code: 25 USC 13 Name of Law: Expenditures of Appropriations by Bureau
  

Citations for New Statutory Requirements: None

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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:
	89 FR 52076	06/21/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 20189	05/12/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Addendum to Application	N/A	HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407
Government Performance Results Act Reporting Form	N/A	Government Performance Results Act (GPRA) Reporting Form
Housing Improvement Program Application	BIA 6407	Housing Improvement Program Application
Tribal Annual Performance Report	N/A	Tribal Annual Performance Report (TAPR) Excel workbook

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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	12,523	12,523	0	0	0	0
Annual Time Burden (Hours)	5,185	5,185	0	0	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $31,156

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.     Yes

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: 05/12/2025

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