Information Collection

Eligibility Assessment

IC 203700 under ICR 201208-2528-003 · OMB 2528-0293.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0293 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B Eligibility Assessment Final (3.5.13).docx	Other-telephone script

IC Title:

Eligibility Assessment

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-telephone script			Appendix B Eligibility Assessment Final (3.5.13).docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,500

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	17,500	17,500
Annual IC Time Burden (Hours)	1,021	1,021
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.