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Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)
Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)
OMB: 2577-0191
IC ID: 27850
OMB.report
HUD/PIH
OMB 2577-0191
ICR 201804-2577-006
IC 27850
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0191 can be found here:
2021-08-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form HUD-2880
Application for the Community Development Block Grant Program for Indian Tribes and Alaska Native Villages (ICDBG)
Form and Instruction
HUD-2880 Applicant/Recipient Disclosure/Update Report
SF 2880.pdf
Form and Instruction
HUD-4123 Cost Summary
HUD-4123 Cost Summary.pdf
Form and Instruction
HUD-4125 Implementation Schedule - Indian Community Development B
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-2880
Applicant/Recipient Disclosure/Update Report
SF 2880.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
HUD-4123
Cost Summary
HUD-4123 Cost Summary.pdf
Yes
Yes
Fillable Printable
Form and Instruction
HUD-4125
Implementation Schedule - Indian Community Development Block Grant (ICDBG)
HUD 4125 Implementation Schedule.pdf
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:
240
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
709
0
0
-131
840
0
Annual IC Time Burden (Hours)
7,800
0
0
-100
7,900
0
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.