Information Collection

National Survey of Homeless Assistance Providers and Clients

IC 145462 under ICR 199508-2528-001 · OMB 2528-0176.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

National Survey of Homeless Assistance Providers and Clients

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HPWUS-L(5)L	No	No
Form	HPWUS-100A;	No	No
Form	100B-THRU-N	No	No
Form	HPWUS-L(1)-THRU	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	17,500	17,500
Annual IC Cost Burden (Dollars)	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.