Information Collection

AIAN Facility Condition, Location, and Ownership Survey

IC 237391 under ICR 202605-0970-010 · OMB 0970-0534.

Documents and Forms

Document Name Document Type
Draft 2025 AIAN Facility Survey_Public Comment Edits_12.11.25_clean.docx Other-Survey
Draft 2025 AIAN Facility Survey_Public Comment Edits_12.11.25_clean.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AIAN Facility Condition, Location, and Ownership Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Survey			Draft 2025 AIAN Facility Survey_Public Comment Edits_12.11.25_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 155	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	543	0	543
Annual IC Time Burden (Hours)	180	88	92
Annual IC Cost Burden (Dollars)	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].