View Information Collection Request (ICR) Package
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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:
202504-2577-001
Status:
Active
Previous ICR Reference No:
202105-2577-003
Agency/Subagency:
HUD/PIH
Agency Tracking No:
2577-0218
Title:
Indian Housing Block Grants (IHBG) Program Reporting
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/28/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/10/2025
Terms of Clearance:
This collection is approved for one year. Prior to reapproval of this information collection and preferably within six months of this approval, the agency will provide a substantive set of responses to OMB in response to the public commenter, expand on the discussion of the purpose of each instrument in the collection, and provide revised burden estimates if appropriate.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2027
36 Months From Approved
01/31/2026
Responses
441
0
3,341
Time Burden (Hours)
78,695
0
104,183
Cost Burden (Dollars)
0
0
0
Abstract:
The forms included in this collection are associated with the Indian Housing Block Grant (IHBG) program, as authorized under Title I of the Native American Housing Assistance and Self-Determination Reauthorization Act (NAHASDA) (25 U.S.C. 4101). The IHBG program provides funding to eligible Native American tribes and tribally designated housing entities (TDHEs) in the form of formula-based allocations and competitive awards.
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:
90 FR 17611
04/28/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 29880
07/07/2025
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 Appendix A, HUD-4119, HUD-52736-A, HUD-52736-B, HUD-53246, HUD-52737, HUD-4119, HUD-52737, HUD-53247, HUD-4117, HUD-4117, HUD 4123-4125 , HUD 424B, HUD-424B, HUD-2880, SF-424 , SF-424D, SF-425
IHP APR GEMS
,
IHP APR Fillable
,
Reference
,
Appendices A-D
,
Formula Response Form
,
Appendix B
,
Appendix C
,
Appendix D
,
Challenging Population Projections Data
,
Challenging U.S. Census Data
,
Depository Agreement - Banking Accounts
,
Depository Agreement - Brokers/Dealers
,
Reference
,
Combined Cost Summary
,
Assurances and Certifications
,
Assurances and Certifications
,
Applicant Recipient Disclosure Update Report
,
Mandatory
,
Assurances and Construction Programs
,
Federal Financial Report
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
441
3,341
0
-2,900
0
0
Annual Time Burden (Hours)
78,695
104,183
0
-25,488
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:
Yes
Burden Reduction Due to:
Changing Forms
Short Statement:
• This is a revision of currently approved collection. • HUD-4123: Cost Summary (OMB no: 2501-0044) replaced HUD-53246 • HUD-4125: Implementation Schedule (OMB no: 2501-0044) replaced HUD-53247 • Estimated hours per response for both respondents and reviewers were corrected; specifically for Formula forms HUD-4117 and 4119. While every grantee is provided with a HUD-4117, relatively few utilize it annually for requesting adjustments to formula data. Fewer utilize the HUD-4119 to challenge formula data. • Collection also makes clear the full burden associated with the grant life cycle.
Annual Cost to Federal Government:
$3,264,858
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.
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
Agency Contact:
Rebecca Halloran 602 379-7183
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:
07/10/2025
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