Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
BASELINE SURVEY New 10100 7575 0 Other- Revised - Instrument 2 HCV Mobility Evaluation Baseline Survey
COST DATA COLLECTION INTERVIEW GUIDE New 34 68 0 Other-Revised - Instrument 8 Interview Guide for Cost Data Collection
COST STUDY DATA COLLECTION OUTREACH New 34 6 0 Other-Revised - Attachment M Cost Interview Advance Letter
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM New 180 45 0 Other-Revised - Attachment H Head of Household Family Interview Consent Form
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION New 3166 792 0 Other-Revised - Attachment C Head of Household Waitlist Family Informed Consent
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM New 10100 7575 0 Other- Revised - Instrument 1 Household Roster and Baseline Information Form
Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration New 180 31 0 Other-Revised - Attachment I Family Interview Advance Letter
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration New 180 14 0 Other-Revised - Attachment J Family Interview Email Reminder
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS New 36 36 0 Other- Revised - Instrument 7 Interview Guide for Participating Landlords
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING New 90 135 0 Other-Revised - Instrument 5 Interview Guide for Searching Families
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP New 90 135 0 Other-Revised - Instrument 6 Interview Guide for Leased Up Families
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration New 72 12 0 Other-Revised - Attachment L Landlord Interview Advance Letter
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE New 45 68 0 Other- Revised - Instrument 4 Mobility Services Provider Interview Guide
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration New 45 8 0 Other-Revised - Attachment K Mobility Services Provider Interview Advance Letter
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration New 45360 9072 0 Other-Revised - Attachment G Mobility Services Tracking Tool
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION New 10100 2525 0 Other-Revised - Attachment D Other Adult Household Member Informed Consent
PARENT/GUARDIAN PERMISSION FORM New 10100 2525 0 Other-Revised - Attachment E Parent Guardian Permission Form
PHA STAFF INTERVIEW GUIDE New 45 68 0 Other- Revised - Instrument 3 PHA Staff Interview Guide
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION New 6334 1584 0 Other- Revised - Attachment B Head of Household Existing Voucher Holders Informed Consent
PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION New 400 100 0 Other-Revised - Attachment N Phase 2 HoH Existing Voucher Holders Informed Consent
PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION New 200 50 0 Other- Revised - Attachment O Phase 2 Head of Household Waitlist Families Informed Consent
PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION New 5050 1263 0 Other- Revised - Attachment P Phase 2 Other Adult Household Member Informed Consent
Total burden requested under this ICR: 101941 33687 0  
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