Rent Reporting Baseline Information Form

Moving to Work,Asset Building Cohort Evaluation

Documents and Forms

Document Name Document Type
Final -Rent Reporting baseline information form.docx Other-Rent Reporting Baseline Inform
Final -Rent Reporting baseline information form.docx Other-Rent Reporting Baseline Inform
Final - Rent Reporting baseline information form Post_OMB Approval (clean).docx Other-Final - Rent Reporting baselin
Final - Rent Reporting baseline information form Post_OMB Approval (clean).docx Other-Final - Rent Reporting baselin

Information Collection (IC) Details

IC Title:	Rent Reporting Baseline Information Form	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
Other-Rent Reporting Baseline Information Form			Final -Rent Reporting baseline information form.docx		No		Paper Only
Other-Final - Rent Reporting baseline information form Post_OMB Approval Changes			Final - Rent Reporting baseline information form Post_OMB Approval (clean).docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	99	99
Annual IC Time Burden (Hours)	25	25
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.