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Grantee Process Evaluation Online Survey Year 1
Evaluation of the Older Adults Home Modification Grant Program
OMB: 2528-0335
IC ID: 254747
OMB.report
HUD/PD&R
OMB 2528-0335
ICR 202411-2528-002
IC 254747
( )
Documents and Forms
Document Name
Document Type
Appendix I. Grantee Process Evaluation Online Survey Form_OAHM_Final.docx
Other-Grantee Process Evaluation Onl
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx
Other-Appendix I. Grantee Process Ev
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.(CLEAN).docx
Other-Revised Annual Grantee Process
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Grantee Process Evaluation Online Survey Year 1
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-Grantee Process Evaluation Online Survey Year 1
Appendix I. Grantee Process Evaluation Online Survey Form_OAHM_Final.docx
No
Paper Only
Other-Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean)
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx
No
Paper Only
Other-Revised Annual Grantee Process Evaluation Survey
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.(CLEAN).docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
32
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
32
0
0
0
0
32
Annual IC Time Burden (Hours)
128
0
0
0
0
128
Annual IC Cost Burden (Dollars)
0
0
0
0
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.