Tribal Housing and Urban Development Veteran Administration Supportive Housing Program

Forms and Documents

Document	Type	Status	Availability
Form 5980A Tribal HUD VASH Family Report	Form and Instruction	Modified	Repair queued
Form 5980A Tribal Housing and Urban Development Veteran Administration Supportive Housing Program	Form and Instruction	Modified	Repair queued
(RedlIne) HUD Form-5980A.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-24	Repair queued
(RedlIne) HUD Form-5980A.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-24	Repair queued
OMB 83c -2577-0304_Form HUD-5980A.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-21	Repair queued
OMB 83c -2577-0304_Form HUD-5980A.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-21	Missing upstream
2577-New Tribal Housing and Urban.pdf	Supplementary Document	Uploaded 2024-03-22	Repair queued
2577-New Tribal Housing and Urban.pdf	Supplementary Document	Uploaded 2024-03-22	Repair queued
Tribe Supporting Statement.docx	Supporting Statement A	Uploaded 2024-03-26	Available
Tribe Supporting Statement.docx	Supporting Statement A	Uploaded 2024-03-26	Missing upstream
2577-NEW Tribal HUD VASH 60-Day Notice pub 10-19-23.pdf	Supplementary Document	Uploaded 2023-11-09	Repair queued
2577-NEW Tribal HUD VASH 60-Day Notice pub 10-19-23.pdf	Supplementary Document	Uploaded 2023-11-09	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
263300	Tribal Housing and Urban Development Veteran Administration Supportive Housing Program	Form and Instruction	Modified	Tribal HUD VASH Family Report
263300	Tribal Housing and Urban Development Veteran Administration Supportive Housing Program	Form and Instruction	Modified

ICR Details

OMB Control No: 2577-0304	ICR Reference No: 202503-2577-005
Status: Active	Previous ICR Reference No: 202310-2577-001
Agency/Subagency: HUD/PIH	Agency Tracking No:
Title: Tribal Housing and Urban Development Veteran Administration Supportive Housing Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/01/2025
Terms of Clearance: Approved consistent with EO 14168. Previous terms of clearance remain in effect ("Upon the next resubmission of this information collection to OMB, the agency will improve Question 3 of Supporting Statement A to more clearly articulate how the information collection is currently submitted to HUD. The agency should affirmatively state whether or not the entirety of the collection can be completed and submitted electronically (that is, without having to print or scan any documents prior to transmitting back to the agency).").

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	06/30/2027	06/30/2027
Responses	910	0	910
Time Burden (Hours)	1,593	0	1,593
Cost Burden (Dollars)	0	0	0

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Abstract: The Tribal Housing and Urban Development Veteran Administration Supportive Housing Program (Tribal HUD–VASH) provides rental housing assistance and supportive services to Native American veterans who are homeless or at risk of homelessness living on or near a reservation or other Indian areas. Housing assistance under this program is available by grants to tribes and Tribally Designated Housing Entities (TDHEs) that are eligible to receive Indian Housing Block Grant (IHBG) funding under the Native American Housing Assistance and Self Determination Act (25 U.S.C. 4101) (NAHASDA). Grants and renewal funds are awarded and approved by HUD. Grants include an additional amount for administrative costs and eligible homeless veterans receive case management services through the Department of Veterans Affairs.

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Authorizing Statute(s): US Code: 25 USC 4101 Name of Law: Native American Housing Assistance and Self-Determination Act of 1996
  

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:
	88 FR 72096	10/19/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 19599	03/19/2024
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Tribal Housing and Urban Development Veteran Administration Supportive Housing Program	5980A	Tribal HUD VASH Family Report

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ICR Summary 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	910	910	0	0	0	0
Annual Time Burden (Hours)	1,593	1,593	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:

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.     No

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: 04/01/2025

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