Information Collection

Study Participant interviews

IC 217181 under ICR 201801-2528-002 · OMB 2528-0306.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0306 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Rent Reform Demonstration Protocol 4 (6.22.15).docx	Other-Head of Household interview

IC Title:

Study Participant interviews

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-Head of Household interview			Rent Reform Demonstration Protocol 4 (6.22.15).docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

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	-80	80
Annual IC Time Burden (Hours)	-120	120
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.