Information Collection Request

Domestic Violence and Housing Technical Assistance Consortium Safe Housing Needs Assessment

ICR 201612-1122-001 · OMB 1122-0033 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1122-XXX Domestic Violence and Housing Technical Assistance Consortium Safe Housing Needs Assessment Form New Available
ombrocis2017THassessmentupportstatement-1[1].doc Supporting Statement A Uploaded 2017-03-29 Available
Domestic and Sexual Violence Organizations_ Needs Assessment Questions_Final with RevisionIncorporation_NASH (003).pdf Supplementary Document Uploaded 2017-03-29 Available
Homeless Shelter and Housing Providers_Feedback Incorporated_NASH.pdf Supplementary Document Uploaded 2017-03-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225896 Domestic Violence and Housing Technical Assistance Consortium Safe Housing Needs Assessment Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2020 6 Months From Approved
78,660 0 0
19,665 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Domestic Violence and Housing Technical Assistance Consortium Safe Housing Needs Assessment 1122-XXXX, 1122-XXX Safe Housing Needs Assessment ,   Safe Housing Needs Assessment

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 78,660 0 0 78,660 0 0
Annual Time Burden (Hours) 19,665 0 0 19,665 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No