View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2528-0296	ICR Reference No: 201707-2528-005
Status: Historical Active	Previous ICR Reference No: 201607-2528-002
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 with change	Conclusion Date: 03/06/2018
	Date Received in OIRA: 12/11/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	10/31/2019
Responses	144	0	2,551
Time Burden (Hours)	199	0	1,913
Cost Burden (Dollars)	2,612	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	144	2,551	-2,407
Annual Time Burden (Hours)	199	1,913	-1,714
Annual Cost Burden (Dollars)	2,612	0	2,612

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This submission is a revision request for approval. This is the final round of data collection for the study which reflects an update to burden hours.

Annual Cost to Federal Government: $49,452

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Regina Gray 202 402-2876

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