Information Collection

Household Outcomes Survey for FEMAs Alternative Housing Pilot Program

IC 185148 under ICR 200805-2528-003 · OMB 2528-0254.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Advance letter revised 8-19-08.doc	Other-Advance Letter
Survey Experimental.doc	Other-Survey Experimental
Survey NonExperimental.doc	Other-Survey None Experimental
Item by Item Justification Non-Experimental.doc Household Outcomes Survey Item by Item Justification � Non-Experimental Version	IC Document
Item by ItemJustification Experimental.doc Household Outcomes Survey Item by Item Justification � Experimental Version	IC Document

IC Title:

Household Outcomes Survey for FEMAÂs Alternative Housing Pilot Program

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Advance Letter	Advance letter revised 8-19-08.doc	Yes	No	Fillable Printable
Other-Survey Experimental	Survey Experimental.doc	Yes	Yes	Fillable Fileable
Other-Survey None Experimental	Survey NonExperimental.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: 747

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	747	747
Annual IC Time Burden (Hours)	560	560
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Household Outcomes Survey Item by Item Justification ï¿½ Non-Experimental Version	Item by Item Justification Non-Experimental.doc	05/30/2008
Household Outcomes Survey Item by Item Justification ï¿½ Experimental Version	Item by ItemJustification Experimental.doc	05/30/2008

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