Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Accelerometers (adult) New 800 135200 0 Other-Accelerometers (adult)
Accelerometers (child) New 800 135200 0 Other-Accelerometers (child)
Adult Survey New 1800 1800 0 Other-Adult Survey
Other-Adult Survey
Advance Letter New 2570 206 0 Other-Advance Letter
Advance Letter New 1628 130 0 Other-Advance Letter
Anthropometric assessments (adult) New 1800 306 0 Other-Anthropometric assessments (adult)
Anthropometric assessments (child) New 1800 306 0 Other-Anthropometric assessments (child)
Anthropometric assessments (child, but accounting for parent's time) New 1800 306 0 Other-Anthropometric assessments (child, but accounting for parent's time)
BASELINE SURVEY Removed 0 0 0 Other- Revised - Instrument 2 HCV Mobility Evaluation Baseline Survey
Blood Pressure Reading (adult) New 1800 450 0 Other-Blood Pressure Reading (adult)
Blood Spot Samples (adult) New 1800 306 0 Other-Blood Spot Samples (adult)
COST DATA COLLECTION INTERVIEW GUIDE Removed 0 0 0 Other-Revised - Instrument 8 Interview Guide for Cost Data Collection
COST STUDY DATA COLLECTION OUTREACH Removed 0 0 0 Other-Revised - Attachment M Cost Interview Advance Letter
Consent for Assessment New 1140 194 0 Other-Consent for Assessment
Consent for Assessment New 1674 218 0 Other-Consent for Assessment
Consent for Assessment New 1800 450 0 Other-Consent for Assessment
Consent for Semi-Structured Interviews New 75 13 0 Other-Consent for Semi-Structured Interviews
Direct Child Assessment New 1674 619 0 Other-Direct Child Assessment
Other-Direct Child Assessment
Other-Direct Child Assessment
Direct Measurements New 1140 570 0 Other-Direct Measurements
Email Reminder New 2570 51 0 Other-Email Reminder
Email Reminder New 1628 33 0 Other-Email Reminder
Follow-up Call Phone Script New 2570 334 0 Other-Follow-up Call Phone Script
Follow-up Call Phone Script New 1628 212 0 Other-Follow-up Call Phone Script
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM Removed 0 0 0 Other-Revised - Attachment H Head of Household Family Interview Consent Form
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Removed 0 0 0 Other-Revised - Attachment C Head of Household Waitlist Family Informed Consent
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM Removed 0 0 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 Removed 0 0 0 Other-Revised - Attachment I Family Interview Advance Letter
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration Removed 0 0 0 Other-Revised - Attachment J Family Interview Email Reminder
Home Observations/ Housing Assessment New 1800 450 0 Other-Home Observations/ Housing Assessment
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS Removed 0 0 0 Other- Revised - Instrument 7 Interview Guide for Participating Landlords
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING Removed 0 0 0 Other-Revised - Instrument 5 Interview Guide for Searching Families
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP Removed 0 0 0 Other-Revised - Instrument 6 Interview Guide for Leased Up Families
Interviewer Observations New 1140 194 0 Other-Interviewer Observations
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Removed 0 0 0 Other-Revised - Attachment L Landlord Interview Advance Letter
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE Removed 0 0 0 Other- Revised - Instrument 4 Mobility Services Provider Interview Guide
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration Removed 0 0 0 Other-Revised - Attachment K Mobility Services Provider Interview Advance Letter
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration Removed 0 0 0 Other-Revised - Attachment G Mobility Services Tracking Tool
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Removed 0 0 0 Other-Revised - Attachment D Other Adult Household Member Informed Consent
PARENT/GUARDIAN PERMISSION FORM Removed 0 0 0 Other-Revised - Attachment E Parent Guardian Permission Form
PHA STAFF INTERVIEW GUIDE Removed 0 0 0 Other- Revised - Instrument 3 PHA Staff Interview Guide
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Removed 0 0 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 Removed 0 0 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 Removed 0 0 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 Removed 0 0 0 Other- Revised - Attachment P Phase 2 Other Adult Household Member Informed Consent
Semi-Structured Interviews New 75 113 0 Other-Semi-Structured Interviews
Survey New 1140 285 0 Other-Survey
Other-Survey
Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment New 1674 1256 0 Other-Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Other-Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Tracking Calls New 2700 459 0 Other-Tracking Calls
Tracking Emails/Texts New 1800 234 0 Other-Tracking Emails/Texts
Total burden requested under this ICR: 42826 279895 0  
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