ConnectHome Baseline Survey Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ConnectHome Postcard Color_12_14_2015.pdf	Supplementary Document	Uploaded 2015-12-16	Available
ConnectHome Baseline Survey cover letter 12-15-15.docx	Supplementary Document	Uploaded 2015-12-16	Available
ConnectHome PRA Supporting Statement Part B 10-20-15.docx	Supporting Statement B	Uploaded 2015-10-20	Available
ConnectHome PRA Supporting Statement Part A 10-20-15.docx	Supporting Statement A	Uploaded 2015-10-20	Available
ConnectHome Baseline Survey Emergency Processing OMB Letter.pdf	Supplementary Document	Uploaded 2015-10-20	Available
2015-26271 (Federal Register Notice-ConnectHome).pdf	Supplementary Document	Uploaded 2015-10-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218649	ConnectHome Baseline Survey	Other-Baseline Survey	New

ICR Details

OMB Control No: 2528-0308	ICR Reference No: 201510-2528-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: ConnectHome Baseline Survey Data Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/29/2015
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/16/2015
	Date Received in OIRA: 10/20/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	6 Months From Approved
Responses	2,800	0	0
Time Burden (Hours)	233	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: ConnectHome will bring free or discounted in-home broadband access to residents of HUD-assisted housing across 28 sites.The purpose of this effort is for the contractor to support PHAs in the 28 ConnectHome sites in administering a baseline survey to identify residents that have high-speed Internet access in these sites and providing HUD with: baseline measures of in-home high-speed internet access, barriers to access among those without access, and types of devices used to access the internet.

Emergency Justfication: The Office of Management and Budget granted HUD’s request for emergency processing of the ConnectHome baseline survey under 5 CFR 1320.13. HUD requested emergency processing on the grounds that the collection of information was necessary prior to the time periods under the regular process; is essential to HUD’s mission to utilize housing as a platform for improving quality of life and as a secretarial priority; and the use of normal clearance procedures are likely to prevent or disrupt the collection of information, because the participating communities will begin implementing ConnectHome in the next two months.

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Authorizing Statute(s): US Code: 12 USC 1701Z-1 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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
ConnectHome Baseline Survey

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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	2,800	0	0	2,800	0	0
Annual Time Burden (Hours)	233	0	0	233	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: No

Burden Reduction Due to:

Short Statement: New collection

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Annual Cost to Federal Government: $160,726

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: 10/20/2015

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