OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

American Healthy Homes Survey II

IC 226989 under ICR 201912-2539-001 · OMB 2539-0026.

Documents and Forms
Document Name
Document Type
Other-Appendix B
Other-Protcol approval with modifica
Other-Appendix F
Other-Appendix A
Information Collection (IC) Details

View Information Collection (IC)

American Healthy Homes Survey II
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

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

Community and Social Services Community and Regional Development

 

600 0
   
State, Local, and Tribal Governments
 
   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 0 0 0 1,364
Annual IC Time Burden (Hours) 2,441 0 0 0 0 2,441
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.