Information Collection

Specialty Adapted Housing (SAH) Servicing Survey

IC 220586 under ICR 201606-2900-003 · OMB 2900-0782.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VBA_SAH_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	Other-Survey Instrument
VA_Surv9_SvcSAH_5.26.16.pdf	Other-Mail Survey Instrument
VA_CL9_234332_SAHServ_06.22.16.pdf	Other-Cover Letter

IC Title:

Agency IC Tracking Number:

2900-0782-VBA-BAS

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey Instrument	VBA_SAH_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	No	Paper Only
Other-Mail Survey Instrument	VA_Surv9_SvcSAH_5.26.16.pdf	No	Paper Only
Other-Cover Letter	VA_CL9_234332_SAHServ_06.22.16.pdf	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

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: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
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.