Housing Assistance Summary

Reporting and Performance Standards System for Migrant and Seasonal Farmworker Programs

Documents and Forms

Document Name Document Type
Form ETA 9164 Housing Assistance Summary Form and Instruction
ETA 9164 NFJP Housing Form FINAL_NFJP Housing Form 9164 2.26.16.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Housing Assistance Summary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9164	NFJP Housing Form	FINAL_NFJP Housing Form 9164 2.26.16.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	68	68
Annual IC Time Burden (Hours)	1,156	1,156
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.