Information Collection

AIAN Facility Condition, Location, and Ownership Survey

IC 237391 under ICR 202605-0970-010 · OMB 0970-0534.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Draft 2025 AIAN Facility Survey_Public Comment Edits_12.11.25_clean.docx	Other-Survey
Draft 2025 AIAN Facility Survey_Public Comment Edits_12.11.25_clean.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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					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: 155

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	543	0	543
Annual IC Time Burden (Hours)	180	88	92
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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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