Information Collection

Project Specific Information Questionnaires & Project Staff Questionnaires

IC 27590 under ICR 201311-2528-001 · OMB 2528-0203.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix C3 - FY 2013 PSI PH.pdf	Other-PH Questionnaire
Appendix C4 - FY 2013 PSI VO.docx	Other-HCV questionnaire
Appendix C5 - FY 2013 PSI MR.docx	Other-MR questionnaire
Appendix C6 - FY 2013 PSI OA.docx	Other-OA questionnaire
Appendix E2 - FY 2013 Project Staff Questionnaire.docx	Other-Project Staff Questionnaire

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 1437

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PH Questionnaire	Appendix C3 - FY 2013 PSI PH.pdf	Yes	Yes	Fillable Fileable
Other-HCV questionnaire	Appendix C4 - FY 2013 PSI VO.docx	Yes	Yes	Fillable Fileable
Other-MR questionnaire	Appendix C5 - FY 2013 PSI MR.docx	Yes	Yes	Fillable Fileable
Other-OA questionnaire	Appendix C6 - FY 2013 PSI OA.docx	Yes	Yes	Fillable Fileable
Other-Project Staff Questionnaire	Appendix E2 - FY 2013 Project Staff Questionnaire.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: 550

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	550	0	550
Annual IC Time Burden (Hours)	688	321	367
Annual IC Cost Burden (Dollars)	0	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.