Information Collection

2016 NYCHVS Spanish Translation Research

IC 221546 under ICR 201312-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

2016 NYCHVS Spanish Translation Research

Agency IC Tracking Number:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.