Information Collection

Survey of CDBG-DR recipients

IC 265086 under ICR 202402-2528-002 · OMB 2528-0349.

Documents and Forms

Document Name Document Type
Final - OMB Clearance_Appendix H.docx Other-Appendix H – Survey of CDBG-DR
Final - OMB Clearance_Appendix H.docx Other-Appendix H – Survey of CDBG-DR

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of CDBG-DR recipients	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-Appendix H â Survey of CDBG-DR recipients			Final - OMB Clearance_Appendix H.docx		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: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
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.