Information Collection

Government Performance Results Act Reporting Form

IC 234446 under ICR 201812-1076-002 · OMB 1076-0184.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0184 can be found here:

Documents and Forms

Document Name Document Type
Government Performance Results Act Reporting Form Form
Government Performance Results Act (GPRA) Reporting Form 2019 HIP GPRA Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Government Performance Results Act Reporting Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 256.14(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Government Performance Results Act (GPRA) Reporting Form	2019 HIP GPRA Form.xlsx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title: Indian Housing Improvement Program, BIA-10	FR Citation: 48 FR 41104

Number of Respondents: 77	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 Agency Discretion
Annual Number of Responses for this IC	308	308
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	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.