Information Collection

Interim Survey

IC 214101 under ICR 201801-2528-001 · OMB 2528-0293.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D Study Participant Interim Survey CLEAN WITHOUT COMMENTS 12.1.14.docx	Other-Interim Survey
Appendix D Interim Survey Revised 3.6.15 (Final 3.30.15).docx	Other-survey

IC Title:

Interim Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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-Interim Survey					No		Paper Only
Other-survey					No		Paper Only

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-6,000	6,000
Annual IC Time Burden (Hours)	-3,500	3,500
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.

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