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Baseline Residents Survey
Choice Neighborhoods Evaluation, Phase 1
OMB: 2528-0286
IC ID: 201533
OMB.report
HUD/PD&R
OMB 2528-0286
ICR 201203-2528-001
IC 201533
( )
Documents and Forms
Document Name
Document Type
Appendix A Baseline Residents Survey_FINAL.docx
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Baseline Residents Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Appendix A Baseline Residents Survey_FINAL.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,605
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,605
0
2,605
0
0
0
Annual IC Time Burden (Hours)
1,954
0
1,954
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
