Impact of Housing and Services Interventions for Homeless Families (Family Options Study)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix E_Final OMB Package_36-month_Child_Item by Item justification.pdf	Supplementary Document	Uploaded 2014-01-15	Available
Appendix C_36-month_Adult_Item by Item justification.docx	Supplementary Document	Uploaded 2014-01-15	Available
Family Options Study_Part B_36-Month Follow-up.docx	Supporting Statement B	Uploaded 2014-01-15	Available
Family Options Study_Part A_36-Month Follow-up_FINAL.docx	Supporting Statement A	Uploaded 2014-03-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
210050	Administrative Data UI Wage records	Other-laceholder for future MOU	New
209545	Direct Child Assessments	Other-placeholder for future MOU	New
209543	Older Child Assent Form	Other-Child survey	New
209542	36-month Adult Follow-up Survey	Other-Adult Survey	New
199937	Cost Data Collection	Other-Interview guide	Removed
199925	Impact of Housing and Services Interventions for Homeless Families	Other-Follow up survey	Removed

ICR Details

OMB Control No: 2528-0259	ICR Reference No: 201312-2528-001
Status: Historical Active	Previous ICR Reference No: 201110-2528-002
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Impact of Housing and Services Interventions for Homeless Families (Family Options Study)
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: 03/10/2014
	Date Received in OIRA: 01/23/2014
Terms of Clearance: HUD shall follow the terms of its revised incentive plan, as described by Supporting Statement A.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2015
Responses	3,430	0	1,855
Time Burden (Hours)	3,811	0	1,981
Cost Burden (Dollars)	0	0	0

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Abstract: The Family Options Study is a multi-site experimental study of the impact of various housing services interventions on homeless families. Over 2,200 families have enrolled in the study across 12 communities. Families were interviewed at enrollment, randomly assigned to one of four interventions, and have been tracked for 36-months after random assignment. Families were interviewed at 18 months following random assignment. Clearance is being sought for the 36 month survey instrument.

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Authorizing Statute(s): US Code: 12 USC 1701z-1 Name of Law: National Housing 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:
	78 FR 179	09/16/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 3849	01/23/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Administrative Data UI Wage records
36-month Adult Follow-up Survey	N/A, N/A, N/A	Adult Consent Form ,   Release of Information ,   Parental Permission form
Impact of Housing and Services Interventions for Homeless Families
Cost Data Collection
Older Child Assent Form	N/A	Child Assent form
Direct Child Assessments

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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	3,430	1,855	0	1,575	0	0
Annual Time Burden (Hours)	3,811	1,981	0	1,830	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: 36 month follow-up survey

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Annual Cost to Federal Government: $2,882,387

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? 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? 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: 01/23/2014

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