Information Collection

Residents - pretest

IC 214145 under ICR 201412-0648-002 · OMB 0648-0713.

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Forms, instructions, correspondence ATTACHMENT D_Residents.pdf Yes No Printable Only
Form NA On-site resident questionnaire On-site_Questionnaire_resident_Version1_Pre-test_clean.docx No   Paper Only
Other-notification letter Resident_Survey_Pre-notification_Letter-clean.doc No   Paper Only
Other-Information RESIDENTS_ECONOMIC VALUATION CARD-clean.docx No   Paper Only
Instruction RESIDENTS_MANAGEMENT SOLUTIONS CARD-clean.doc No   Paper Only
Instruction RESIDENTS_RESPONDENT_Green_Card_clean.doc No   Paper Only
Other-Information Sweepstakes Lottery Gifts handout residents (1).pdf No   Paper Only
Form NA Resident expenditure mailback survey Resident_Expend__mailback_PR_clean.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 200 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 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.