Information Collection

RHY-HMIS: Street Outreach Program (Contact)

IC 245725 under ICR 202508-0970-010 · OMB 0970-0573.

Documents and Forms

Document Name Document Type
Form 1 RHY-HMIS Data Elements RHY-HMIS: Street Outreach Program (Contact) Form
HMIS-Data-Standards-Manual-2024_EO Update.pdf Instruction
1 RHY-HMIS Data Elements RHY Program Specific Data Elements OMB -Updated 08202025 for EO Requirement.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RHY-HMIS: Street Outreach Program (Contact)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	RHY-HMIS Data Elements	RHY Program Specific Data Elements OMB -Updated 08202025 for EO Requirement.pdf		Yes	Yes	Fillable Fileable
Instruction			HMIS-Data-Standards-Manual-2024_EO Update.pdf		Yes	Yes	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 108,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35,640	35,640
Annual IC Time Burden (Hours)	18,000	18,000
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.

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