Independent Living Facility Screener for American Housing Survey

Generic Clearance for MAF and TIGER Update Activities

OMB: 0607-0809

IC ID: 187824

Information Collection (IC) Details

View Information Collection (IC)

Independent Living Facility Screener for American Housing Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AHS-101AR Age Restricted Living Screener Questionnaire (American Housing Survey) ahs101ar_12-29-08 Draft.pdf No   Paper Only
Other-Privacy Statement privacy statement.wpd No   Paper Only

General Government Central Records & Statistical Mgt

 

24 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 24 0 0 0 0 0
Annual IC Time Burden (Hours) 2 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AHS Independent Living Facility Screener -- Plan AL09_Screening_Notification 1-13-09. wpd.wpd 01/16/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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