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OMB Control No: 2577-0218	ICR Reference No: 202605-2577-007
Status: Received in OIRA	Previous ICR Reference No: 202504-2577-001
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	Date Submitted to OIRA: 08/10/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	4,680	441
Time Burden (Hours)	78,695	78,695
Cost Burden (Dollars)	0	0

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-52737, HUD-4119, HUD-52737, HUD-4117, HUD-4117, HUD 4123-4125 , HUD 53248, HUD-424B, HUD-2880, SF-424 , SF-424D, SF-425, 426	, , , , , , , , , , , , , , , , , ,

Annual Cost to Federal Government: $4,481,042

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

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