View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2528-0335
ICR Reference No:
202108-2528-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HUD/PD&R
Agency Tracking No:
Title:
Evaluation of the Older Adults Home Modification Grant Program
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/03/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/03/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2025
36 Months From Approved
Responses
15,921
0
0
Time Burden (Hours)
4,401
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The following text provides information on the U.S. Department of Housing and Urban Development’s (HUD) Office of Policy Development and Research (PD&R) planned evaluation of the implementation and impact of the Older Adults Home Modification Program (OAHMP) grants. These grants are administered by HUD’s Office of Lead Hazard Control and Healthy Homes (OLHCHH). The following information is organized to respond directly to itemized subsections Part A and B of the Supporting Statement for Paperwork Reduction Act Submissions (Supporting Statement). For reviewers only interested in the itemized responses to Part A and Part B, please turn to Section 1.1. The Evaluation of the OAHMP grants will assess the OLHCHH grant program's effectiveness. HUD’s purpose for the OAHMP is to assist experienced nonprofit organizations, state and local governments, and public housing authorities in undertaking comprehensive programs that make safety and functional home modifications, and limited repairs to meet the needs of low-income elderly homeowners. The goal of the home modification program is to enable low-income elderly persons to remain in their homes through low-cost, low barrier, high impact home modifications to reduce older adults’ risk of falling, improve general safety, increase accessibility, and to improve their functional abilities in their home. This will enable older adults to remain in their homes, that is, to “age in place,” rather than move to nursing homes or other assisted care facilities. Under the terms of the OLHCHH OAHMP NOFO, grantees are required to collaborate with PD&R “on that Office’s evaluation of the impact of the OAHMP, and any other HUD research on the program.” OLHCHH developed an OAHM “Program Services Model” for this grant program that “incorporates two core concepts: first, as people age, their needs change, and they may need adaptations to their physical environment to live safely at home; second, for any intervention to have the highest impact, the individual’s personal goals and needs must be a driver in determining the actual intervention.” The Program Services Model components for grantees are summarized as follows: 1. An initial interview and in-home assessment is conducted by a licensed Occupational Therapist (OT), licensed OT Assistant (OTA), or Certified Aging-in-Place Specialist (CAPS), with the latter two working under the supervision of a licensed OT. The OT, OTA, or CAPS will conduct the initial interview with the client and care takers (if available) in their home and assess the home for safety hazards, including the client’s fall risk, and/or the client’s functional abilities with activities of daily living (ADLs) and instruments of daily living (IADLs) 2. A work order is created by the OT or by a licensed OTA or CAPS whose work under the grant is supervised by a licensed OT. With the client’s consent, the OT, OTA, or CAPS will prioritize necessary home modifications and complete a work order and any additional specifications. 3. Home modification work is conducted by a licensed, or in accordance with local and state regulations, contractor qualified to perform the required work. 4. An in-home follow-up assessment and inspection is conducted by the licensed OT, who will also train the client in the safe and proper use of adaptive equipment and home modifications. During this visit, the OT will also inspect the home modification work to ensure it meets the work order requirements and complete a new work order for any needed adjustments.
Authorizing Statute(s):
US Code:
12 USC 1701z-1
Name of Law: Research and Demonstrations
US Code:
12 USC 1701z-6
Name of Law: Special housing need research and demonstration authority
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 51178
09/14/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 71518
12/16/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
Client Process Evaluation Interview
Home Hazard Checklist (Baseline)
Home Hazard Checklist (Post-modification)
OAHM Client Impact Evaluation Interview (Baseline)
OAHM Client Impact Evaluation Interview (Post-modification)
OAHM Client Program Questionnaire (Baseline)
OAHM Client Program Questionnaire (Post-modification)
OAHM Program Evaluation Informed Consent
Script to Schedule Client Process Evaluation Interview
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
15,921
0
0
15,921
0
0
Annual Time Burden (Hours)
4,401
0
0
4,401
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new request. The Office of Policy Development and Research (PD&R) will evaluate the implementation and impact of this new program.
Annual Cost to Federal Government:
$243,325
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Jagruti Rekhi 202 402-4512 jagruti.d.rekhi@hud.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
01/03/2022
An official website of the United States government
The .gov means it's official.
The site is secure.
