Rent Reform Demonstration TO2

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Baseline information	Form	Removed	Available
FR-5837-N-02.docx	Supplementary Document	Uploaded 2015-06-25	Available
Rent Reform Demonstration OMB Supporting Statement Part B T02 6-22-2015.docx	Supporting Statement B	Uploaded 2015-06-24	Available
X_Rent Reform Demonstration OMB Supporting Statement Part A TO2 (6-22-2015) MDRC edits 10-6-15.docx	Supporting Statement A	Uploaded 2015-10-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217185	Implementation interviews	Other-Interview - Managers & Supervisors	New
217184	Cost Study	Other-placeholder for nonexistent ICI	New
217183	Database extraction	Other-placeholder for nonexistent ICI	New
217182	PHA Staff interviews	Other-Interview - New Rules staff	New
217181	Study Participant interviews	Other-Head of Household interview	New
212821	Site visits with staff	Other-protocol for site visits	Removed
212820	Baseline information	Form	Removed
212819	Study information sheet	Other-information sheet	Removed

ICR Details

OMB Control No: 2528-0306	ICR Reference No: 201506-2528-001
Status: Historical Active	Previous ICR Reference No: 201408-2528-003
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Rent Reform Demonstration TO2
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: 10/14/2015
	Date Received in OIRA: 08/17/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	36 Months From Approved	01/31/2018
Responses	264	0	18,080
Time Burden (Hours)	328	0	6,110
Cost Burden (Dollars)	0	0	0

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Abstract: The Rent Reform Demonstration will examine the impact of an alternative rent model on employment rates, earnings, and hardship for a random sample of 7,400 households at 4 Moving-to-Work PHAs over a three-year period. Outcomes of the alternative rent model are hypothesized to be increases in earnings, employment, and job retention, among others, using PHA administrative data and nationally-available data on employment and earnings, and a small number of participant interviews. This demonstration will also examine the effect of the alternative rent model on PHA processes and administrative costs. This request updates the baseline data collection ICR to include 1) interviews with PHA staff to understand early implementation of the alternative rent model, 2) interviews with study participants to understand their experience with the alternative rent model, 3) administrative records that will be collected to assess the impacts of the intervention being tested, and 4) cost study data collection for the research activities under Rent Reform Demonstration, Task Order 2 (TO2)

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Authorizing Statute(s): US Code: 12 USC 1701-z Name of Law: Research and demonstrations
  

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:
	80 FR 20007	04/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 36353	06/24/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Study information sheet
Study Participant interviews
PHA Staff interviews
Database extraction
Implementation interviews
Cost Study
Baseline information	N/A	Baseline Information Form
Site visits with staff

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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	264	18,080	0	-17,816	0	0
Annual Time Burden (Hours)	328	6,110	0	-5,782	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: This request updates the baseline data collection ICR to include 1) interviews with PHA staff to understand early implementation of the alternative rent model, 2) interviews with study participants to understand their experience with the alternative rent model, 3) administrative records that will be collected to assess the impacts of the intervention being tested, and 4) cost study data collection for the research activities under Rent Reform Demonstration, Task Order 2 (TO2)

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Annual Cost to Federal Government: $3,030,919

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: 08/17/2015

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