American Healthy Homes Survey II

Documents and Forms

Document Name Document Type
AHHS II Appendix B Title X.doc Other-Appendix B
AHHS II Appendix D IRB Protocol Approval 12.6.16.pdf Other-Protcol approval with modifica
Appendix F Nonresponse follow-up questionnaire.HUD._21nov17.docx Other-Appendix F
AHHS II Appendix A_Field Protocols Questionnaire Informed Consent._21nov17.docx Other-Appendix A

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	American Healthy Homes Survey II	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B	AHHS II Appendix B Title X.doc	Yes	Yes	Fillable Printable
Other-Protcol approval with modification	AHHS II Appendix D IRB Protocol Approval 12.6.16.pdf	Yes	Yes	Fillable Printable
Other-Appendix F	Appendix F Nonresponse follow-up questionnaire.HUD._21nov17.docx	Yes	Yes	Fillable Printable
Other-Appendix A	AHHS II Appendix A_Field Protocols Questionnaire Informed Consent._21nov17.docx	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,364	1,364
Annual IC Time Burden (Hours)	2,441	2,441
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.