Information Collection

Consumer Price Index (CPI) Housing Survey (CADC)

IC 38670 under ICR 201806-1220-003 · OMB 1220-0163.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0163 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment V Consumer Price Index (CPI) Housing Survey (CADC)	Form and Instruction
CADC Housing Collection Instrument ATT_II_COLLECTION_INSTRUMENT_SCREEN_SHOTS_April_2019.docx	Form
Attachment V Screening Questionnaire ATT_V_HousingScreenQuestionnaire 4-2-2019.docx	Form and Instruction
Attachment IX Email/Fax Form ATT IX_Housing Survey Final - LP.xlsx	Form
Attachment X Email/Fax Form - Short ATT X_Housing Survey Final - SP.xlsx	Form
Attachment III - CPI-housing-trifold-DRAFT_20190329_new_CIPSEA.pdf Attachment III	IC Document
Attachment VI - HousingPreScreenQuestionnaireFollowupRenters_20190329_CIPSEA_update.docx Attachment VI - Follow-up Letter	IC Document
Attachment IV - CHI Housing Letter 1_20190329_CIPSEA_update.docx Attachment IV - Introductory Letter	IC Document
ATT_IV_ ATL StandardHousingLetterJuly2016.pdf Attachment IV - Introductory Letter	IC Document

IC Title:

Consumer Price Index (CPI) Housing Survey (CADC)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment V	Screening Questionnaire	ATT_V_HousingScreenQuestionnaire 4-2-2019.docx	Yes	No	Paper Only
Form	CADC	Housing Collection Instrument	ATT_II_COLLECTION_INSTRUMENT_SCREEN_SHOTS_April_2019.docx	Yes	Yes	Fillable Fileable
Form	Attachment IX	Email/Fax Form	ATT IX_Housing Survey Final - LP.xlsx	Yes	Yes	Fillable Fileable
Form	Attachment X	Email/Fax Form - Short	ATT X_Housing Survey Final - SP.xlsx	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: 75,769

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	129,778	-38,822	168,600
Annual IC Time Burden (Hours)	12,752	-1,645	14,397
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment III	Attachment III - CPI-housing-trifold-DRAFT_20190329_new_CIPSEA.pdf	04/04/2019
Attachment VI - Follow-up Letter	Attachment VI - HousingPreScreenQuestionnaireFollowupRenters_20190329_CIPSEA_update.docx	04/04/2019
Attachment IV - Introductory Letter	Attachment IV - CHI Housing Letter 1_20190329_CIPSEA_update.docx	04/04/2019
Attachment IV - Introductory Letter	ATT_IV_ ATL StandardHousingLetterJuly2016.pdf	09/27/2018

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