Information Collection

Survey of choice mobility residents

IC 246069 under ICR 202101-2528-010 · OMB 2528-0330.

Documents and Forms

Document Name Document Type
RAD OMB_Appendix C - 02-24-2021 - clean.docx Other-Survey of choice mobility resi
Final- RAD OMB_Appendix C.docx Other-Survey of choice mobility resi

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of choice mobility residents	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-Survey of choice mobility residents			Final- RAD OMB_Appendix C.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 708	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	708	708
Annual IC Time Burden (Hours)	234	234
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.