Information Collection

Data collection for the Housing Counseling Outcome Evaluation

IC 185150 under ICR 200805-2528-004 · OMB 2528-0255.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0255 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ICR 2528 HC Surveys Appendix A (8.14.08).doc	Other-Housing Counseling Surveys
ICR 2528 HC Client Consent Form 09.doc Client Consent Form	IC Document
ICR 2528 HC Recruitment Letter rev.doc Recruitment Letter	IC Document

IC Title:

Data collection for the Housing Counseling Outcome Evaluation

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-Housing Counseling Surveys			ICR 2528 HC Surveys Appendix A (8.14.08).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: 2,060

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	2,060	2,060
Annual IC Time Burden (Hours)	5,060	5,060
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Client Consent Form	ICR 2528 HC Client Consent Form 09.doc	09/12/2008
Recruitment Letter	ICR 2528 HC Recruitment Letter rev.doc	09/12/2008

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