Information Collection

National Outcomes Performance Assessment of the Collaborative Initiative to Help End Chronic Homelessness

IC 10438 under ICR 200610-0990-006 · OMB 0990-0304.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0304Data and Collection Instruments Request.doc	Other-Other

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5.(d)(2)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			0990-0304Data and Collection Instruments Request.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 563

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,126	-4,664	5,790
Annual IC Time Burden (Hours)	1,408	-2,377	3,785
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.