Information Collection

Homebuyer Survey

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.