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

Documents and Forms

Document Name Document Type
0990-0304Data and Collection Instruments Request.doc Other-Other

Information Collection (IC) Details

View Information Collection (IC)

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

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 %

	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

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