Information Collection

Owning A Home Study – Pilot Phase

IC 213109 under ICR 201210-3170-001 · OMB 3170-0024.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Informed consent language_20140912_FINAL.pdf Other-Informed Consent
Own a Home Survey Instrument 20140912_FINAL.pdf Other-Survey Instrument
Periodic survey invitations_20140910_FINAL.pdf Other-Periodic survey invitations
Recruitment emails_20140910_FINAL.pdf Other-Recuitment emails
Reminder & retention emails_pilot.version_20140910_FINAL.pdf Other-Reminder and retension emails
Treatment and welcome emails_20140910_FINAL.pdf Other-Treatment and welcome emails
20140911_PA Statement.pdf Other-Privacy Act Statement
IC Template 3170-0024OaH eval pilot_20140912_FINAL.pdf
IC Submission Template
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-Informed Consent Informed consent language_20140912_FINAL.pdf Yes Yes Fillable Fileable
Other-Survey Instrument Own a Home Survey Instrument 20140912_FINAL.pdf Yes Yes Fillable Fileable
Other-Periodic survey invitations Periodic survey invitations_20140910_FINAL.pdf Yes Yes Fillable Fileable
Other-Recuitment emails Recruitment emails_20140910_FINAL.pdf Yes Yes Fillable Fileable
Other-Reminder and retension emails - pilot version Reminder & retention emails_pilot.version_20140910_FINAL.pdf Yes Yes Fillable Fileable
Other-Treatment and welcome emails Treatment and welcome emails_20140910_FINAL.pdf Yes Yes Fillable Fileable
Other-Privacy Act Statement 20140911_PA Statement.pdf Yes Yes Fillable Fileable

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 3,885 0 3,885 0 0 0
Annual IC Time Burden (Hours) 163 0 163 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
IC Submission Template IC Template 3170-0024OaH eval pilot_20140912_FINAL.pdf 09/12/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.