Information Collection

Large Scale Cognitive Testing

IC 214695 under ICR 201602-2528-001 · OMB 2528-0307.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX A. HOUSING SEARCH STUDY MODULES.docx	Other-Large Scale Cognitive Testing
APPENDIX C HOUSING SEARCH LOG.docx	Other-Housing Search Log

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-Large Scale Cognitive Testing			APPENDIX A. HOUSING SEARCH STUDY MODULES.docx		No		Paper Only
Other-Housing Search Log			APPENDIX C HOUSING SEARCH LOG.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 938

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	938	938
Annual IC Time Burden (Hours)	429	429
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.