View Information Collection Request (ICR) Package
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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:
2528-0337
ICR Reference No:
202310-2528-003
Status:
Historical Active
Previous ICR Reference No:
202209-2528-003
Agency/Subagency:
HUD/PD&R
Agency Tracking No:
Title:
The Community Choice Demonstration
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
12/18/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/25/2023
Terms of Clearance:
The agency made minor modifications to the instruments.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2026
36 Months From Approved
06/30/2025
Responses
42,826
0
101,941
Time Burden (Hours)
279,895
0
33,687
Cost Burden (Dollars)
0
0
0
Abstract:
The Office of Policy Development and Research (PD&R), at the U.S. Department of Housing and Urban Development (HUD), is seeking approval to collect additional information of individuals participating in the Community Choice Demonstration (formerly known as the Housing Choice Voucher Mobility Demonstration) (“Demonstration” for short). The instruments required for the implementation and early phase of the evaluation of the Demonstration were originally approved by the OMB in May and June 2022. Approval was granted under OMB Control #2528-0337 and expires June 30, 2025.
Authorizing Statute(s):
US Code:
12 USC 1701z-1
Name of Law: Research and Demonstrations
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:
88 FR 40841
06/22/2023
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 71594
10/17/2023
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
27
IC Title
Form No.
Form Name
Accelerometers (adult)
Accelerometers (child)
Adult Survey
Advance Letter
Advance Letter
Anthropometric assessments (adult)
Anthropometric assessments (child)
Anthropometric assessments (child, but accounting for parent's time)
BASELINE SURVEY
Blood Pressure Reading (adult)
Blood Spot Samples (adult)
COST DATA COLLECTION INTERVIEW GUIDE
COST STUDY DATA COLLECTION OUTREACH
Consent for Assessment
Consent for Assessment
Consent for Assessment
Consent for Semi-Structured Interviews
Direct Child Assessment
Direct Measurements
Email Reminder
Email Reminder
Follow-up Call Phone Script
Follow-up Call Phone Script
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM
Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration
Home Observations/ Housing Assessment
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP
Interviewer Observations
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION
PARENT/GUARDIAN PERMISSION FORM
PHA STAFF INTERVIEW GUIDE
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION
Semi-Structured Interviews
Survey
Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Tracking Calls
Tracking Emails/Texts
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
42,826
101,941
0
-59,115
0
0
Annual Time Burden (Hours)
279,895
33,687
0
246,208
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The Office of Policy Development and Research (PD&R), at the U.S. Department of Housing and Urban Development (HUD), is seeking approval to collect additional information of individuals participating in the Community Choice Demonstration (formerly known as the Housing Choice Voucher Mobility Demonstration) (“Demonstration” for short). The instruments required for the implementation and early phase of the evaluation of the Demonstration were originally approved by the OMB in May and June 2022. Approval was granted under OMB Control #2528-0337 and expires June 30, 2025.
Annual Cost to Federal Government:
$2,113,333
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.
Yes
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.
Yes
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:
Marina Myhre 202 420-5705
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:
10/25/2023
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