Information Collection

PBCA Customer-Service Survey

IC 202129 under ICR 201205-2502-001 · OMB 2502-0604.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HUD.PBCA.SurveyRevisionMemo.docx	Other-Survey w/Instructions
HUD PBCA Sample Letter.docx	Other-Letter
9XXXXX PBCA Survey HUD PBCA Owner Surveyr.docx	Form

IC Title:

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey w/Instructions			HUD.PBCA.SurveyRevisionMemo.docx	Yes	Yes	Fillable Fileable
Other-Letter			HUD PBCA Sample Letter.docx	Yes	Yes	Fillable Fileable
Form	9XXXXX	PBCA Survey	HUD PBCA Owner Surveyr.docx	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: 1,940

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,940	1,940
Annual IC Time Burden (Hours)	317	317
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.