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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2016 NYCHVS Spanish Translation Research
Agency IC Tracking Number:
IC Status:
New
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
Form
H-100
New York City Housing and Vacancy Survey
Enclosure 1_NYCHVS Questionnaire.pdf
Yes
Yes
Paper Only
Form and Instruction
Enc. 2
Owner-Occupied Protocol
Enclosure 2_Owner-Occupied Protocol.docx
Yes
Yes
Paper Only
Form and Instruction
Enc. 3
Renter-Occupied Protocol
Enclosure 3_Renter-Occupied Protocol.docx
Yes
Yes
Paper Only
Form and Instruction
Enc. 4
Vacant Unit Protocol
Enclosure 4_Vacant Unit Protocol.docx
Yes
Yes
Paper Only
Form and Instruction
Enc. 5
Recruitment Screener
Enclosure 5_Recruitment Screener.docx
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
40
0
40
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo
NYCHVS Spanish Translation OMB memo.docx
05/16/2016
Payment Voucher
Enclosure 6_Payment Voucher.doc
05/16/2016
Consent Form
Enclosure 7_Consent Form.docx
05/16/2016
Flash Cards
Enclosure 8_Flash Cards.pdf
05/16/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.