Information Collection

Addendum to Application

IC 213185 under ICR 202405-1076-022 · OMB 1076-0184.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Addendum to Application	Form
HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407 HIP Addendum For Application Form 6407 2018.doc www.bia.gov/policy-forms/online-forms	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 256.15

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	N/A	HOUSING IMPROVEMENT PROGRAM ADDENDUM to BIA FORM 6407	HIP Addendum For Application Form 6407 2018.doc	https://www.bia.gov/policy-forms/online-forms	Yes	No	Fillable Printable

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: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	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.