Information Collection

Homebuyer Survey

IC 213491 under ICR 201410-0920-020 · OMB 0920-1051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Homebuyer Survey	Form
Homebuyer Survey Appendix_06c_Online_Homebuyer_Survey_100214.docx	Form
Homebuyer Survey Appendix_06b_Homebuyer_Survey_021315 clean.docx	Form
Appendix_06a_Homebuyer_Survey_Data_Dictionary_042214.docx 6a - Data dictionary	IC Document

IC Title:

Homebuyer Survey

Agency IC Tracking Number:

Is this a Common Form? No

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Homebuyer Survey	Appendix_06c_Online_Homebuyer_Survey_100214.docx		Yes	Yes	Fillable Fileable
Form	none	Homebuyer Survey	Appendix_06b_Homebuyer_Survey_021315 clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
6a - Data dictionary	Appendix_06a_Homebuyer_Survey_Data_Dictionary_042214.docx	10/15/2014

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