Information Collection

Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF

IC 271991 under ICR 202412-0970-005 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A. Survey Questions_Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF_fnl.docx	Other-Survey
SSA - Formative for ACF Program Support_OFA Tribal Homelessness TANF_12132024.docx SSA - Prog Supp GenIC: Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF	IC Document
Change Request -Tribal Homelessness TANF GenIC_11.12.24.docx Change Request - Tribal TANF Homelessness - # Respondents and Timeline	IC Document
Change Request -Tribal Homelessness TANF GenIC_12.17.24.docx Change Request - Tribal TANF Homelessness - # Respondents for Sharing	IC Document

IC Title:

Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF

Agency IC Tracking Number:

OFA

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			A. Survey Questions_Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF_fnl.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	24	76
Annual IC Time Burden (Hours)	33	8	25
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Prog Supp GenIC: Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF	SSA - Formative for ACF Program Support_OFA Tribal Homelessness TANF_12132024.docx	12/17/2024
Change Request - Tribal TANF Homelessness - # Respondents and Timeline	Change Request -Tribal Homelessness TANF GenIC_11.12.24.docx	11/12/2024
Change Request - Tribal TANF Homelessness - # Respondents for Sharing	Change Request -Tribal Homelessness TANF GenIC_12.17.24.docx	12/17/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.