2016 NYCHVS Spanish Translation Research

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form H-100 2016 NYCHVS Spanish Translation Research Form
H-100 New York City Housing and Vacancy Survey Enclosure 1_NYCHVS Questionnaire.pdf Form
Enc. 2 Owner-Occupied Protocol Enclosure 2_Owner-Occupied Protocol.docx Form and Instruction
Enc. 3 Renter-Occupied Protocol Enclosure 3_Renter-Occupied Protocol.docx Form and Instruction
Enc. 4 Vacant Unit Protocol Enclosure 4_Vacant Unit Protocol.docx Form and Instruction
Enc. 5 Recruitment Screener Enclosure 5_Recruitment Screener.docx Form and Instruction
NYCHVS Spanish Translation OMB memo.docx Memo IC Document
Enclosure 6_Payment Voucher.doc Payment Voucher IC Document
Enclosure 7_Consent Form.docx Consent Form IC Document
Enclosure 8_Flash Cards.pdf Flash Cards IC Document

Information Collection (IC) Details

IC Title:	2016 NYCHVS Spanish Translation Research	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	H-100	New York City Housing and Vacancy Survey	Enclosure 1_NYCHVS Questionnaire.pdf	Yes	Yes	Paper Only
Form and Instruction	Enc. 2	Owner-Occupied Protocol	Enclosure 2_Owner-Occupied Protocol.docx	Yes	Yes	Paper Only
Form and Instruction	Enc. 3	Renter-Occupied Protocol	Enclosure 3_Renter-Occupied Protocol.docx	Yes	Yes	Paper Only
Form and Instruction	Enc. 4	Vacant Unit Protocol	Enclosure 4_Vacant Unit Protocol.docx	Yes	Yes	Paper Only
Form and Instruction	Enc. 5	Recruitment Screener	Enclosure 5_Recruitment Screener.docx	Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	NYCHVS Spanish Translation OMB memo.docx	05/16/2016
Payment Voucher	Enclosure 6_Payment Voucher.doc	05/16/2016
Consent Form	Enclosure 7_Consent Form.docx	05/16/2016
Flash Cards	Enclosure 8_Flash Cards.pdf	05/16/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.