TA Customer

HUD Technical Assistance Assessment

Documents and Forms

Document Name Document Type
Urban Institute HUD TA Supporting Statement Appendix B_REV 10.2.18.docx Other-Interview Protocol TA Customer
Urban Institute HUD TA Supporting Statement Appendix C_REV 10.2.18 (002).docx Other-Letter, Consent Form

Information Collection (IC) Details

IC Title:	TA Customer	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Protocol TA Customer			Urban Institute HUD TA Supporting Statement Appendix B_REV 10.2.18.docx		No		Paper Only
Other-Letter, Consent Form			Urban Institute HUD TA Supporting Statement Appendix C_REV 10.2.18 (002).docx		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: 25	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.