SPC Web Survey

Evaluation of the Projects for Assistance in Transition from Homelessness (PATH) Program

Documents and Forms

Document Name Document Type
Form 0930-0381 SPC Web SPC Web Survey Form and Instruction
0930-0381 SPC Web 0930-0381 SPC Web Survey 0930-0381 PATH Evaluation Attachment 1 _ SPC Survey.docx Form and Instruction
0930-0381 SPC Web 0930-0381 SPC Web Survey 0930-0381 PATH Evaluation Attachment 1 _ SPC Survey.docx Form and Instruction

Information Collection (IC) Details

IC Title:	SPC Web Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	0930-0381 SPC Web Survey	0930-0381 SPC Web Survey	0930-0381 PATH Evaluation Attachment 1 _ SPC Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	56	56
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.