Alternative Housing Pilot Program Evaluation Baseline Survey

Documents and Forms

Document Name Document Type
Survey 5_5.doc Other-Survey
Consent Form 5_5.doc Other-Consent Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Alternative Housing Pilot Program Evaluation Baseline Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 24 CFR 990

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Survey 5_5.doc		Yes	No	Fillable Printable
Other-Consent Form			Consent Form 5_5.doc		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	4,167	4,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.