Information Collection

Commitment Letter

IC 228522 under ICR 201707-2528-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ConnectHome Expansion PRA Instrument Enrollment 8-28-17 - Commitment Letter.docx	Other-Commitment Letter

IC Title:

Commitment Letter

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Commitment Letter			ConnectHome Expansion PRA Instrument Enrollment 8-28-17 - Commitment Letter.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	2,250	2,250

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.