Information Collection

AHS New Orleans Metropolitan Sample

IC 189832 under ICR 200907-2528-001 · OMB 2528-0257.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
2009 HMR NOLA New Questions2.rtf Other-NOLA Questions - AHS Survey
2009 RMOV NOLA New Questions2.rtf Other-RMOV NOLA Questions AHS Survey
AHS09_Items_Booklet_08122008.pdf Other-AHS 09 Survey Booklet
AHS09_Reint_Items_08122008.pdf Other-AHS 09 Reinterview Survey
Letter-FAQ.pdf Other-FAQ Letter
AHS-30(WS).pdf Other-worksheet
AHS-26 (L).pdf Other-AHS -26 Letter
AHS-27 (L).pdf Other-AHS-27 Letter
OMB Supplement.doc
OMB Supplement
IC Document
AHS09_Justification_NOLA Rev 061609.doc
SUPPORTING STATEMENT
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-NOLA Questions - AHS Survey 2009 HMR NOLA New Questions2.rtf Yes Yes Fillable Printable
Other-RMOV NOLA Questions AHS Survey 2009 RMOV NOLA New Questions2.rtf Yes Yes Fillable Fileable
Other-AHS 09 Survey Booklet AHS09_Items_Booklet_08122008.pdf Yes Yes Fillable Fileable
Other-AHS 09 Reinterview Survey AHS09_Reint_Items_08122008.pdf Yes Yes Fillable Fileable
Other-FAQ Letter Letter-FAQ.pdf No   Paper Only
Other-worksheet AHS-30(WS).pdf Yes Yes Fillable Fileable
Other-AHS -26 Letter AHS-26 (L).pdf No   Paper Only
Other-AHS-27 Letter AHS-27 (L).pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,311 0 5,311 0 0 0
Annual IC Time Burden (Hours) 4,179 0 4,179 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Supplement OMB Supplement.doc 07/08/2009
SUPPORTING STATEMENT AHS09_Justification_NOLA Rev 061609.doc 07/16/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.