Information Collection

National Shelter Survey Program

IC 152191 under ICR 198702-3067-003 · OMB 3067-0154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

NATIONAL SHELTER SURVEY PROGRAM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	85-43, 85-5	No	No
Form	85-30,	No	No
Form	85-28, 85-36	No	No
Form	85-42	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,907

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	89,918	84,961	4,957
Annual IC Time Burden (Hours)	105,834	100,000	5,834
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.