Information Collection

SURF Fellow Housing Application

IC 235574 under ICR 201904-0693-001 · OMB 0693-0084.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0084 can be found here:

Documents and Forms

Document Name Document Type
Housing Survey for PRA - 2019.pdf Other-Housing Application
NIST-1 SORN.pdf SORN IC Document
Privacy Act Statement.docx Privacy Act Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SURF Fellow Housing Application	Agency IC Tracking Number:	ER

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Housing Application			Housing Survey for PRA - 2019.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: NIST-1, NIST Associates	FR Citation: 81 FR 21837

Number of Respondents: 220	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	110	110
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SORN	NIST-1 SORN.pdf	04/03/2019
Privacy Act Statement	Privacy Act Statement.docx	04/03/2019

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