HUD Lead Hazard Control GranteesRegarding Their Use of Healthy Homes Supplemental Funding

Documents and Forms

Document Name Document Type
HH Supplemental Funds Use Questionnaire_16may13 (rev2).docx Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HUD Lead Hazard Control GranteesRegarding Their Use of Healthy Homes Supplemental Funding	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-Questionnaire			HH Supplemental Funds Use Questionnaire_16may13 (rev2).docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	640	640
Annual IC Cost Burden (Dollars)	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.