Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2577-0218
ICR Reference No:
201709-2577-001
Status:
Historical Active
Previous ICR Reference No:
201512-2577-005
Agency/Subagency:
HUD/PIH
Agency Tracking No:
2577-0218
Title:
Indian Housing Block Grants (IHBG) Program Reporting
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:
09/05/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/05/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2019
07/31/2019
07/31/2019
Responses
1,779
0
1,779
Time Burden (Hours)
47,967
0
47,967
Cost Burden (Dollars)
0
0
0
Abstract:
The Native American Housing Assistance and Self Determination Act (NAHASDA) requires recipients (tribes and tribally designated housing entities) to submit specific information that is necessary for the implementation of low income housing programs using Indian Housing Block Grant funds (IHBG). Recipients of IHBG funds submit Indian Housing Plan/Annual Performance Reports (HUD-52737), Formula Response Forms (HUD-4117), and Formula Challenge Forms (HUD-4119). Recipients of IHBG funds submit an Indian Housing Plan/Annual Performance Report (HUD-52737) annually using a Word version. HUD intends to make available an Excel and EPIC version of the form that requests exactly the same information as does the Word version. The automated capabilities of the Excel EPIC versions improve the quality of the submission and simplify the completion of the form, while reducing paperwork burden.
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
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 509
01/06/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 15545
03/23/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Indian Housing Block Grants (IHBG) Program Reporting
HUD-4119, HUD-4119, HUD-4119, HUD-4117, HUD-52737, HUD-4117, HUD-4119, HUD-4119, HUD-52737, HUD-52736-A, HUD-52737 IHP-APR, HUD-52736-B
Indian Housing Block Grant (IHBG) IHP/APR
,
Formula Response Form: Indian Housing BlockGrant Formula Data
,
Appendix A1: Conveyance of Formula Current Assisted Stock (FCAS) Units
,
Challenging National Center for Health Statistics Birth and Death Rate Data: Guidelines for the Indian Housing Block Grant Formula
,
Appendix C - Challenging Total Development Cost Data: Guidelines for the Indian Housing Block Grant Formula
,
Appendix D - Challenging Fair Market Rent Data: Guidelines for the Indian Housing Block Grant Formula
,
Appendix E - Challenging Total Resident Service Area Indian Population Data: Guidelines for the Indian Housing Block Grant Formula
,
Challenging U.S. Decennial: Census Data: Guidelines for the Indian Housing Block Grant Formula
,
EPIC IHP/APR Screen Views
,
One Year Plan and Annual Performance Report
,
Depository Agreement (Banker)
,
Depository Agreement (Broker)
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
1,779
1,779
0
0
0
0
Annual Time Burden (Hours)
47,967
47,967
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:
The decline in annual burden hours from OMB’s current inventory is due to correcting a mathematical error.
Annual Cost to Federal Government:
$729,585
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?
Uncollected
Agency Contact:
Jennifer Bullough 202-401-7914
Common Form ICR:
No
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:
09/05/2017
An official website of the United States government
The .gov means it's official.
The site is secure.
