Project Specific Information Questionnaires & Project Staff Questionnaires

FY 2013 HUDQC Study’s PSI Questionnaire

Moderate Rehabilitation Program

The Project Specific Information (PSI) questionnaire is provided to administrators of Public Housing, Housing Choice Voucher (HCV), Moderate Rehabilitation (Mod Rehab) units, and Section 8, Section 202 PRAC, Section 202/162 PAC, and Section 811 PRAC assisted units selected in the FY 2013 HUD Quality Control (HUDQC) Study. We use the data you provide to prepare for our data collection process.

The PSI questionnaire is divided into 5 sections, with an average completion time of 30 minutes:

1. Project Specific Information

2. Reference Information

3. Rent Calculation Policies

4. Questions to Facilitate Data Collection

5. Contact Information

Your answers are very important to us and we appreciate your time. If you have any questions about the survey, please feel free to contact us toll-free at (877) 392-9776 or by email at [email protected].

How We Designate “Projects” in Our Study

Before you begin, we would like to tell you how we designate “projects” in our study. For the purpose of selecting programs of comparable size during our sampling process, we often divide up larger program sizes into smaller entities (for HCV programs this usually means selecting HCV tenants living in a specific county or city). We call each entity we select “projects” in our study. This means that the project we select may not be based on your entire program service area.

Note that if you are a large PHA we may have selected multiple projects (in Public Housing, HCV, or Mod Rehab programs) for this study. If multiple projects at your site have been selected for this study, you must complete a PSI survey for each project.

Please complete this survey for the specific project we have identified (provided to you in the email in which this survey was attached or in the cover letter you received with a fax of this survey).

I. Project Specific Information

1. We will be selecting a sample of tenants participating in the Housing Choice Voucher Program living only in the county or township we have identified. Please check the information below for accuracy and make any corrections in the “Correction” fields below.

HUDQC’s Project Identifier Correction

1. PHA Name: [PHA Name] ________________________________________________

2. PHA Code: [PHA Code] ________________________________________________

3. Selected Area: [Selected Area] ________________________________________________

4. [# of MR Participants] MR ________________________________________________

participants in the selected area

2. If you want to provide any additional information about the project identified, please do so here:

_______________________________________________________________________________________

_______________________________________________________________________________________

HUDQC FY2013 Study Period

Unless otherwise stated, all questions in this survey refer to our study period of November 1, 2012 to October 31, 2013.

Special Circumstances

HUD gives special permission to programs/sites to design and implement non-standard policies and procedures for calculating rent. Note that for the purpose of this study, Moving to Work is not considered a special demonstration project.

3. Is the project selected for this study considered a special demonstration project?

O Yes O No

If you selected yes above, please answer Section A on the next page.

If your project is a special demonstration, please answer these questions.

Please explain how your project’s policies and procedures related to rent calculation differ

from standard HUD policy:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Section A

We may need additional information about your special project policies. Please provide us

with the contact information of the staff we should contact for follow up questions

regarding your special demonstration project:

Name: _____________________________________________________

Phone Number: ______________________________________________

Email: _____________________________________________________

If your project is a special demonstration, you do not need to complete the rest of the survey.

Please fax this survey to toll-free (800) 823-0127 or email it to [email protected].

Please answer questions below in regard to Mod Rehab units in the county or township we have identified.

4. How many units are currently occupied? ________

II. Reference Information

5. What passbook rate was used to impute asset income for 50058 transactions effective November 1, 2012 through October 31, 2013? For each rate entered please indicate the period it was used:

Please enter rates as percentages. For example, enter two percent as “2” (do not enter as “0.02”). If your project is using the rate currently, please enter today’s date as the “End Date.”

Start Date End Date

Rate: ____________ % Period used:_____________ to _____________

Rate: ____________% Period used:_____________ to _____________

6. What is the project’s minimum rent? $ _______ If there is no minimum rent, please enter 0.

7. Does your project have Welfare Rent? O Yes O No

If yes, we will need information about the Welfare Rent Schedule(s) used for transactions effective November 1, 2012 to October 31, 2013. You can list your schedule here or you can send us a copy. More information about sending project documentation can be found below. _______________________________________________________________________________________

_______________________________________________________________________________________

Request for Policy and Rent Calculation Documents

At this time we would like to request that you send us documents related to rent and income calculation for your project. Note that we need documents that were used for transactions effective during our study timeframe of Nov. 1, 2012 to Oct. 31, 2013, unless otherwise indicated.

We require the following documents:

• Welfare Rents, if applicable

• Policy and procedural guidance related to rent and income calculation

We will reference the documents you provide us to calculate rent and measure improper payments during our review of your files. It is important that documentation accurately reflects your policies.

Mail Documents to: Fax Documents to:

ICF International Toll-free (800) 823-0127

Attn: HUDQC Study

11785 Beltsville Dr., Ste.300 Email Documents to:

Calverton, MD 20705 [email protected]

III. Rent Calculation Policies

8. Please provide the page number(s) and/or chapter and section where we can reference the specified policies in the document(s) you have sent or will send us. Please indicate the name of the specific document you are referring to.

Policy Topic Reference Document & Page/Section

a. Seasonal Income ______________________________________________

b. Child Support Income ______________________________________________

c. Asset Income ______________________________________________

d. Medical Expenses ______________________________________________

e. Disability Assistance Expenses ______________________________________________

f. Childcare Expenses ______________________________________________

g. Zero-Income Households ______________________________________________

9. We will reference the document(s) you provide us to calculate rent and measure improper payments during our review of your files. If you would like to provide any additional explanation regarding policies or procedures related to rent or income calculation at your project, please do so here:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Note: If your policy changed at some point within our study period of November 1, 2012 to October 31, 2013, please indicate the date of the change and explain the policy in place before the change.

PIH Notice 2013-03 (HA), Issued on January 22, 2013

Questions #10-12 refer to policy changes established by PIH Notice 2013-03.

10. In reference to PIH Notice 2013-03, PHAs may choose to use either actual past income or projected future income to determine a household’s annual income. Please indicate the method your project used to determine a household’s annual income for transactions effective November 2012 to October 2013:

O We use actual past income to determine annual income

O We did not change our policy and continue to use projected future income

O Other – Please explain: _____________________________________________________________

If your project chose to use actual past income or some other income determination method, what date was the policy implemented? _____________________

11. Has your project adopted a policy for households with assets less than $5,000 that allows these households to self-certify their asset amount and asset income?

O Yes O No

If yes, what was the date this policy was effective at your project? ­_________________________

If yes, please describe the application of this policy at your project: _________________________________________________________________________________

_________________________________________________________________________________

12. Has your project adopted a policy to streamline recertification for elderly and disabled households with 100% fixed income?

O Yes O No

If yes, what was the date this policy was effective at your project? ___________

If yes, please describe the application of this policy at your project: _________________________________________________________________________________

_________________________________________________________________________________

IV. Questions to Facilitate Data Collection

13. When did your project conduct Criminal Background Checks? Please check all that apply.

During screening at initial certification

During recertification

When a household member turned 18 years old

When screening new household members

If there was reason to believe someone was involved in a criminal activity

Other – Please describe other times you would conduct a criminal background check:

__________________________________________________________________________________

14. Where did your project keep documentation showing that criminal background checks for household members were conducted?

O There is a form in the tenant file showing that we performed the check.

O There is a note in the tenant file showing that we performed the check.

O Criminal background checks were not printed or were destroyed and there is no evidence that we conducted the review.

O In a location other than the tenant file or we have another procedure not listed above – Please identify location or clarify procedure here:_______________________________________________

15. When did your project conduct sex offender screenings? Please check all that apply.

During screening at initial certification

During recertification

When a household member turned 18 years old

When screening new household members

If there was reason to believe someone was involved in a sexual offense

Other – Please describe other times you would conduct a sex offender check:_____________________

16. Where did your project keep documentation showing that sex offender screenings for household members were conducted?

O There is a form in the tenant file showing that we performed the check

O There is a note in the tenant file showing that we performed the check

O Sex offender reports were not printed out or were destroyed and there is no evidence that we conducted the check.

O In a location other than the tenant file or we have another procedure not listed above – Please identify location or clarify procedure here: ________________________________________________

17. For move-ins and recertification transactions effective November 1, 2012 to October 31, 2013, are documents related to income calculation scanned and stored electronically?

O Yes O No

O Some documents are electronically stored and some are only on paper. Please explain here:

_________________________________________________________________________________

18. Does your project use a questionnaire or checklist to gather information from the household during the move-in and recertification interview?

O Yes O No

19. How will our data collectors access tenant files (50058/50059 forms and supporting documentation) when they are at your project site?

O Paper tenant files will be provided to data collectors for review

O Data collectors will be given systems access to print out tenant file documentation

O Other: ___________________________________

20. Where does your project store EIV reports for households in the project?

O They are printed and stored in paper files, by household

O They are printed and stored in paper files, by a category other than household

O They are scanned and saved electronically in our systems

O The project does not keep EIV reports. The project completes a form or writes a note in the file stating that the EIV report was reviewed

O Other: _______________________________________

V. Contact Information

Please remember that “project” refers to tenants participating in the HCV program and living in the county or township we have identified.

Contact Information for Project Sites - When we start collecting data, we will need to know where tenant files are stored. Please provide the name, address, and contact information for the project site where tenant files for the above listed project can be located:

Primary Contact

Name of Site Contact: ______­­­­­____________________________________________________

Site Contact Phone Number:_____________________________________________________

Site Contact Email: ____________________________________________________________

Office’s Hours of Operation: _____________________________________________________

Office Name: _________________________________________________________________

Project Address: _______________________________________________________________

Secondary Contact

Name of Site Contact: ______­­­­­____________________________________________________

Site Contact Phone Number:_____________________________________________________

Site Contact Email: ____________________________________________________________

Office’s Hours of Operation: _____________________________________________________

Office Name: _________________________________________________________________

Project Address: _______________________________________________________________

Study Contact Information - We would like to contact you if we have questions about the answers you provided in this survey or other questions about the project. Please provide your contact information below:

Name of Site Contact: ______­­­­­____________________________________________________

Site Contact Phone Number:_____________________________________________________

Site Contact Email: ____________________________________________________________

Office’s Hours of Operation: _____________________________________________________

Office Name: _________________________________________________________________

Project Address: _______________________________________________________________

We need an alternate study contact who can answer questions about the project in the event that you are not available. Please provide information for an alternate study contact below:

Name of Site Contact: ______­­­­­____________________________________________________

Site Contact Phone Number:_____________________________________________________

Site Contact Email: ____________________________________________________________

Office’s Hours of Operation: _____________________________________________________

Office Name: _________________________________________________________________

Project Address: _______________________________________________________________

Next Steps

Project Specific Questionnaire (PSQ)

In a few months we will be sending your project a longer survey called the Project Staff Questionnaire. The PSQ asks questions related to project staff, training, quality control practices, and recertification procedures.

Field Interviewer/Data Collector

Additionally, we will be sending out a HUDQC Field Interviewer to your project site sometime between December 2013 and April 2014. If you have any scheduling issues or conflicts that you know of at this time, please let us know here or you can always email us at [email protected]:

_______________________________________________________________________________________

_______________________________________________________________________________________

General Feedback

You can provide general feedback to us about this survey here or, if you prefer, you can email us your comments and feedback at [email protected]:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank You for Your Participation

Thank you for completing the HUDQC Study FY2013 Project Specific Information questionnaire. Your answers are very important to us and we appreciate your time.

As stated at the beginning of the PSI, if you are a large PHA or manage multiple project-based rental assistance sites, we may have selected multiple projects for this study. You must complete this survey for EACH project that has been selected.

Thanks Again!

FY 2013 Project Specific Information Questionnaire – Moderate Rehabilitation 17