PATH Intermediary Web Survey

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

Documents and Forms

Document Name Document Type
Form PATH Intermediary PATH Intermediary Web Survey Form and Instruction
PATH Intermediary PATH Intermediary Web Survey PATH Evaluation_Attachment2_2017_May1.docx Form and Instruction
PATH Intermediary PATH Intermediary Web Survey PATH Evaluation_Attachment2_2017_May1.docx Form and Instruction

Information Collection (IC) Details

IC Title:	PATH Intermediary Web Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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	PATH Intermediary Web Survey	PATH Intermediary Web Survey	PATH Evaluation_Attachment2_2017_May1.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-28	28
Annual IC Time Burden (Hours)	-28	28
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.