Information Collection

Eviction Counseling Survey

IC 258845 under ICR 202303-2502-001 · OMB 2502-0625.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2502-0625 can be found here:

Documents and Forms

Document Name Document Type
OMB2502-NEW_EvictionCounselingSurvey_SurveyInstrument.pdf Other-Survey
OMB2502-NEW_EvictionCounselingSurvey_DB_DASLettertoAgencies.docx Other-Survey DAS' Letter
OMB2502-NEW_EvictionCounselingSurvey_DB_DASLettertoAgencies.docx Other-Survey DAS' Letter
Survey Instrument Screen Shots -4-25-23.docx Other-Survey
Survey Instrument Screen Shots -4-25-23.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Eviction Counseling Survey	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 DAS' Letter			OMB2502-NEW_EvictionCounselingSurvey_DB_DASLettertoAgencies.docx		Yes	Yes	Fillable Fileable
Other-Survey			Survey Instrument Screen Shots -4-25-23.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	750	750
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.