View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2528-0296	ICR Reference No: 201607-2528-002
Status: Historical Active	Previous ICR Reference No: 201501-2528-004
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Family Self-Sufficiency Program Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2016
	Date Received in OIRA: 07/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	36 Months From Approved	10/31/2016
Responses	2,551	0	4,958
Time Burden (Hours)	1,913	0	4,416
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FSS Evaluation	Baseline Information Form Adult, XX-XXXX, XX-XXXX, XX-XXXX	, , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	2,551	4,958	-2,407
Annual Time Burden (Hours)	1,913	4,416	-2,503
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: 36 Month Follow-up survey, this is a follow-up it decreased the burden hours of this collection.

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