Information Collection

American Housing Survey - Screening to Add Units in Dallas

IC 189391 under ICR 200902-0607-006 · OMB 0607-0809.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0809 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AHS-101AR American Housing Survey - Screening to Add Units in Dallas	Form
Confidentiality Notice1 05.26.09.wpd	Other-Confidentiality Notice
AHS-101AR AHS Screener Questionnaire AHS-101AR.pdf	Form
Dallas Screener Notification.wpd AHS Sreener -- Dallas Plan	IC Document

IC Title:

American Housing Survey - Screening to Add Units in Dallas

Agency IC Tracking Number:

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
Form	AHS-101AR	AHS Screener Questionnaire	AHS-101AR.pdf		No		Paper Only
Other-Confidentiality Notice			Confidentiality Notice1 05.26.09.wpd		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
AHS Sreener -- Dallas Plan	Dallas Screener Notification.wpd	06/01/2009

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