View Information Collection (IC)

View Information Collection (IC)

IC Title:	American Healthy Homes Survey II	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix B			AHHS II Appendix B Title X.doc		Yes	Yes	Fillable Printable
Other-Protcol approval with modification			AHHS II Appendix D IRB Protocol Approval 12.6.16.pdf		Yes	Yes	Fillable Printable
Other-Appendix F			Appendix F Nonresponse follow-up questionnaire.HUD._21nov17.docx		Yes	Yes	Fillable Printable
Other-Appendix A			AHHS II Appendix A_Field Protocols Questionnaire Informed Consent._21nov17.docx		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	1,364	0	1,364	0	0	0
Annual IC Time Burden (Hours)	2,441	0	2,441	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.