Information Collection

Assessment Of Native American, Alaska Native, And Native Hawaiian Housing Needs

IC 198620 under ICR 201312-2528-004 · OMB 2528-0288.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Household survey - instrument 1.docx	Other-Household survey
telephone survey - instrument 2.docx	Other-Telephone survey
On-site interview guide - instrument 3.docx	Other-On-site interview guide
Lender telephone interview - instrument 4.docx	Other-Lender telephone interview
NATIVE AMERICANS LIVING IN URBAN AREAS TELEPHONE ON-SITE INTERVIEW GUIDE - instrument 5.docx	Other-Telephone/On-Site interview gu
HAWAIIAN STAKEHOLDER TELEPHONE INTERVIEW GUIDE - instrument 6.docx	Other-Telephone interview guide
Web Survey questions - instrument 7.docx	Other-Web survey questions

IC Title:

ASSESSMENT OF NATIVE AMERICAN, ALASKA NATIVE, AND NATIVE HAWAIIAN HOUSING NEEDS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Household survey	Household survey - instrument 1.docx	No		Paper Only
Other-Telephone survey	telephone survey - instrument 2.docx	No		Paper Only
Other-On-site interview guide	On-site interview guide - instrument 3.docx	No		Paper Only
Other-Lender telephone interview	Lender telephone interview - instrument 4.docx	No		Paper Only
Other-Telephone/On-Site interview guide	NATIVE AMERICANS LIVING IN URBAN AREAS TELEPHONE ON-SITE INTERVIEW GUIDE - instrument 5.docx	No		Paper Only
Other-Telephone interview guide	HAWAIIAN STAKEHOLDER TELEPHONE INTERVIEW GUIDE - instrument 6.docx	No		Paper Only
Other-Web survey questions	Web Survey questions - instrument 7.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,571

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,571	500	2,071
Annual IC Time Burden (Hours)	2,262	500	1,762
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.