Information Collection

Survey of Participating Jurisdictions in ADDI/HOME Programs

IC 181411 under ICR 200708-2528-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Data Verification and Collection.doc	Other-Survey
Program Characteristics Questionnaire.doc	Other-Survey
Concentrance Letter.doc Letter	IC Document
telephone script.doc Telephone Script	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-Survey			Data Verification and Collection.doc		Yes	Yes	Fillable Fileable
Other-Survey			Program Characteristics Questionnaire.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 116

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	116	116
Annual IC Time Burden (Hours)	1,392	1,392
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Letter	Concentrance Letter.doc	08/03/2007
Telephone Script	telephone script.doc	08/03/2007

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