National Outcomes Performance Assessment of the Collaborative Initiative to Help End Chronic Homelessness

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CICH Eval Stats -- 2006-06--Appendix M.pdf	Supporting Statement B	Uploaded 2006-10-17	Available
Supporting Statement OMB #0990-0304 (Extension Request 9-29-06).doc	Supporting Statement A	Uploaded 2006-10-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45763	Network particpation	Other-Other	New
45762	Discharge	Other-Other	New
45761	Screening	Other-Other	New
45760	Follow- up Phase 2	Other-Other	New
45759	Baseline	Other-Other	New
10438	National Outcomes Performance Assessment of the Collaborative Initiative to Help End Chronic Homelessness	Other-Other	Modified

ICR Details

OMB Control No: 0990-0304	ICR Reference No: 200610-0990-006
Status: Historical Active	Previous ICR Reference No: 200606-0990-003
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: National Outcomes Performance Assessment of the Collaborative Initiative to Help End Chronic Homelessness
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/11/2007
	Date Received in OIRA: 10/20/2006
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved	01/31/2007
Responses	1,551	0	5,790
Time Burden (Hours)	1,857	0	3,785
Cost Burden (Dollars)	0	0	0

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Abstract: This initiative, which seeds to implement a collaborative and comprehensive approach to addressing the problems of homelessness, is being coordinated by the US Interagency Council on the Homeless and involves participation of the Departments of Housing and Urban Development, Veterans Affairs, and Health and Human Services. The goal of the national outcomes performance assessment is to provide a site-by-site description of program implementation, as well as descriptive information on clients served; services received; housing quality, stability, and satisfaction;....

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Authorizing Statute(s): US Code: 42 USC 501, 509, 520 Name of Law: Public Health Service Act
   US Code: 42 USC 330 Name of Law: Public Health Service Act
   US Code: 42 USC 38 Name of Law: 1710, 1712, 1722
   US Code: 42 USC 11301, 11303 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 42849	07/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 61780	10/19/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Baseline
National Outcomes Performance Assessment of the Collaborative Initiative to Help End Chronic Homelessness
Discharge
Network particpation
Follow- up Phase 2
Screening

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ICR Summary of Burden

table that charts list 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	1,551	5,790	0	-4,239	0	0
Annual Time Burden (Hours)	1,857	3,785	0	-1,928	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: A majority (over 60%) of 2-year follow-up data collection among CHI clients having been completed by October 2006, and completion of all network identification interiews and tow out of three years of network participation interviews having beebn conmpleted. These reductions more than offset increases in hour burden associated with the recruitment and collection of 3-year follow-up data among comparison group subjects.

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Annual Cost to Federal Government: $2

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 10/19/2006

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