Information Collection

NCCC Housing Survey

IC 197675 under ICR 201405-3045-001 · OMB 3045-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 NCCC Housing Survey	Form and Instruction
5 NCCC Housing Survey NCCC Housing FINAL.doc www.nationalservice.gov	Form and Instruction

IC Title:

NCCC Housing Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 12501

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5	NCCC Housing Survey	NCCC Housing FINAL.doc	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 99

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-99	99
Annual IC Time Burden (Hours)	-13	13
Annual IC Cost Burden (Dollars)	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.