Information Collection

Address Canvassing

IC 224933 under ICR 201709-0607-001 · OMB 0607-0997.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB Package 2018 Ad Can - LiMA screenshots.docx	Instruction
OMB Package 2018 Ad Can - Conf Notice_dh_31_es.pdf Confidentiality Notice	IC Document

IC Title:

Address Canvassing

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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
Instruction			OMB Package 2018 Ad Can - LiMA screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85,093

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85,093	41,128	43,965
Annual IC Time Burden (Hours)	7,091	3,427	3,664
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Confidentiality Notice	OMB Package 2018 Ad Can - Conf Notice_dh_31_es.pdf	12/27/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.