ConnectHome Baseline Survey Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
ConnectHome Baseline Survey PRA SS(Part B) Final 8_17_16.docx	Supporting Statement B	Uploaded 2016-08-17	Available
ConnectHome PRA SS(Part A) 8-17-16 Final.docx	Supporting Statement A	Uploaded 2016-08-17	Available
G017-0411 Connect-Home-Ltr.pdf	Supplementary Document	Uploaded 2016-08-05	Available
Envelope-No10-Win (ConnectHome Baseline Survey OMB Approved).pdf	Supplementary Document	Uploaded 2016-08-05	Available
Envelope-No9 (ConnectHome Baseline Survey OMB Approved).pdf	Supplementary Document	Uploaded 2016-08-05	Available
Draft Parameters for Baseline Survey.pdf	Supplementary Document	Uploaded 2016-08-05	Available
60 Day Notice ConnectHome Baseline Survey (Currently).pdf	Supplementary Document	Uploaded 2016-08-05	Available
ConnectHome Postcard Color_12_14_2015.pdf	Supplementary Document	Uploaded 2015-12-16	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 2528-0308	ICR Reference No: 201608-2528-001
Status: Historical Inactive	Previous ICR Reference No: 201510-2528-002
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: ConnectHome Baseline Survey Data Collection
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 11/01/2016
	Date Received in OIRA: 08/17/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	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.

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 27461	05/06/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 54588	08/16/2016
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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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $196,959

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: 08/17/2016

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