Survey of Participating Jurisdicitons in ADDI/HOME Programs

Survey of Participating Jurisdictions in ADDI/HOME Programs

Documents and Forms

Document Name Document Type
Data Verification and Collection.doc Other-Survey - Data Verificaiton and
Program Characteristics Questionnaire.doc Other-Program Characteristics Questi
Concentrance Letter.doc Concentrance Letter IC Document
telephone script.doc Telephone Script IC Document

Information Collection (IC) Details

IC Title:	Survey of Participating Jurisdicitons in ADDI/HOME Programs	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey - Data Verificaiton and Collection			Data Verification and Collection.doc		Yes	Yes	Fillable Fileable
Other-Program Characteristics Questionnaire			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 %

	Approved	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

Title	Document	Date Uploaded
Concentrance Letter	Concentrance Letter.doc	11/08/2007
Telephone Script	telephone script.doc	11/08/2007

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