Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0191 can be found here:

Documents and Forms

Document Name Document Type
Form HUD 4123 Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG) Form and Instruction
HUD 4123 Cost Summary Form HUD 4123 Cost Summary.pdf Form and Instruction
HUD 4125 Implementation Schedule Form HUD 4125 Implementation Schedule.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)	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 1003

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	HUD 4123	Cost Summary	Form HUD 4123 Cost Summary.pdf		Yes	Yes	Fillable Printable
Form and Instruction	HUD 4125	Implementation Schedule	Form HUD 4125 Implementation Schedule.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	840	0	840
Annual IC Time Burden (Hours)	7,900	-2,195	10,095
Annual IC Cost Burden (Dollars)	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.