OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Home Observations/ Housing Assessment

IC 262919 under ICR 202502-2528-005 · OMB 2528-0337.

Documents and Forms
Document Name
Document Type
Other-Home Observations/ Housing Ass
Other-Home Observations/ Housing Ass
Information Collection (IC) Details

View Information Collection (IC)

Home Observations/ Housing Assessment
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Home Observations/ Housing Assessment Attachment O_The Obesity & Type II Diabetes Risk Assessment_Anthropometric Assessments_Child.docx Yes Yes Fillable Fileable

Community and Social Services Community and Regional Development

 

900 0
   
Individuals or Households
 
   100 %

  Approved 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 1,800 0 0 0 0 1,800
Annual IC Time Burden (Hours) 450 0 0 0 0 450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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