State PATH Contact

Triennial Evaluation of the Projects for Assistance in Transition from Homelessness (PATH)

Documents and Forms

Document Name Document Type
Form Site Visit Intervi State PATH Contact Form and Instruction
Site Visit Intervi Site Visit Interview Guide Attachment_A_PATH_Site_Visit_Interview_Guide_State_PATH_Contact[1].docx Form and Instruction

Information Collection (IC) Details

IC Title:	State PATH Contact	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Site Visit Interview Guide	Site Visit Interview Guide	Attachment_A_PATH_Site_Visit_Interview_Guide_State_PATH_Contact[1].docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	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.