Information Collection

Remote Video Inspection (RVI)

IC 250797 under ICR 202112-2577-003 · OMB 2577-0298.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2577-0298 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0000 Remote Video Inspection (RVI)	Form and Instruction
Attachment4_Survey of Proxies (002)_PMP.xlsx	Other-Excel Spreadsheet
Attachment4_Survey of Proxies (002)_PMP.xlsx	Other-Excel Spreadsheet
Attachment5_Survey of Residents_PMP.xlsx	Other-Excel Spreadsheet
Attachment5_Survey of Residents_PMP.xlsx	Other-Excel Spreadsheet
0000 RVI Checklist Attachment3_RVI Checklist in MS Forms.pdf	Form and Instruction
0000 RVI Checklist Attachment3_RVI Checklist in MS Forms.pdf	Form and Instruction

IC Title:

Remote Video Inspection (RVI)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0000	RVI Checklist	Attachment3_RVI Checklist in MS Forms.pdf	Yes	Yes	Fillable Fileable
Other-Excel Spreadsheet			Attachment4_Survey of Proxies (002)_PMP.xlsx	Yes	Yes	Fillable Fileable
Other-Excel Spreadsheet			Attachment5_Survey of Residents_PMP.xlsx	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: 406

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,218	1,218
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.