HUD-53246 Cost Summary

Cost Summary

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Indian Housing Block Grant

OMB Approval No. 2577-0218
(exp. 08/31/2019)

NOTE: This form is intended for use only by awardees of competitive IHBG funds.

See Instructions and Public Reporting Statement on back.
1. Name of Applicant (as shown in Item 5, Standard Form 424)

Original

3.

(check here if this is the
first submission to HUD)

Revision

(check here if submitted
with implementation schedule
as part of pre-award requirements

Project Name & Project Category

4.

2. Application/Grant Number (to be assigned by HUD upon submission)

a

Amendment

(check here if submitted
after HUD approval of grant)

Date (mm/dd/yyyy)

Planned NonFederal Funds
Expenditures

Planned NAHBG
Expenditures
b
b
$

$

$
$

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00

$0.00

$0.00
$0.00

$0.00
$0.00
$0.00
5.

Administration

$0.00

a. General Management and Oversight.
b. Indirect Costs: Enter indirect costs to be charged
to the program pursuant to a cost allocation plan.
c. Audit: Enter estimated cost of Program share of
financial audits.

$0.00
$0.00

Administration Total

$ 0.00

$ 0.00

$ 0.00

6. Sub Total Enter totals of columns b, c, and d.

$ 0.00

$ 0.00

$ 0.00

7. Grand Total Enter sum of columns b, c, and d.

Previous editions are obsolete

$ 0.00

$ 0.00

Page 1 of 2

form HUD-53246 (6/2018)

Public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of info    
rmation. This agency may
not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
This collection of information requires that each eligible applicant submit information to enable HUD to select the best projects for funding during annual
competitions for the IHBG Competitive Program. The information will be used by HUD to determine whether applications meet minimum screening eligibility
requirements and application submission requirements. Applicants provide general information about the project which is preliminary to the review of the
applicant’s response to the criteria for rating the application. The information is essential for HUD in monitoring grants to    
ensure that grantees are making
proper use of Federal dollars. Responses to the collection are required by Section 105 of the Department of Housing and Urban    
Development Reform Act (P.L.
101-235) as amended by the Cranston-Gonzales National Affordable Housing Act of l990. The information requested does not lend itself to confidentiality.

Previous editions are obsolete

Page 2 of 2

form HUD-53246 (06/2018)