View Information Collection (IC)

View Information Collection (IC)

IC Title:	Indian Housing Block Grants (IHBG) Program Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 24 CFR 1000

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD-4119	Challenging US Decennial Census Data: Guidelines for the Indian Housing Block Grant Formula	4119.doc		Yes	Yes	Fillable Printable
Form and Instruction	HUD-4119 - Redlined Version	Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula	2017 Census Challenge Guidelines Redline Version.docx		Yes	Yes	Fillable Printable
Form and Instruction	HUD-4119 (Clean Version)	Challenging U.S. Census Data: Guidelines for the Indian Housing Block Grant Formula	2017 Census Challenge Guidelines6-1versionclean.docx		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 366	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,779	0	0	0	0	1,779
Annual IC Time Burden (Hours)	47,967	0	0	0	0	47,967
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

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.