Information Collection

Data collection for the Housing Counseling Outcome Evaluation

IC 185150 under ICR 200812-2528-001 · OMB 2528-0255.

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:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Previously Approved
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.