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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

SURF Fellow Housing Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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-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 %

table that charts list of burden
	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

table that charts IC Documents
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.