Information Collection

TA Provider

IC 234761 under ICR 201810-2528-001 · OMB 2528-0323.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Urban Institute HUD TA Supporting Statement Appendix B_REV 10.2.18.docx	Other-Interview Protocal TA Provider
Urban Institute HUD TA Supporting Statement Appendix C_REV 10.2.18 (002).docx	Other-Letter, Consent Form

IC Title:

TA Provider

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-Interview Protocal TA Provider					No		Paper Only
Other-Letter, Consent Form					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: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
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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