Evaluation of the Supportive Services Demonstration

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30-Day Notice Supportive Services Demonstration Evaluation.pdf	Supplementary Document	Uploaded 2018-07-30	Available
(final) ESSD Supporting Statement Part B 11-2-18.docx	Supporting Statement B	Uploaded 2018-11-02	Available
(final)ESSD Supporting Statement Part A 11-2-18.docx	Supporting Statement A	Uploaded 2018-11-02	Available
60-Day Notice Evaluation of the Supportive Services Demontration.pdf	Supplementary Document	Uploaded 2018-05-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232278	Focus Groups with Caregivers	Other-Moderator Guide for Focus Groups with Caregivers of IWISH	New
232277	Focus Groups with Residents	Other-Moderator Guide for Focus Groups with IWISH Participants	New
232276	Interviews	Other-Interview Guide for Wellness Directors at Treatment Proper	New
232275	Initial Questionnaire	Other-Initial Questionnaire for Treatment Properties	New

ICR Details

OMB Control No: 2528-0321	ICR Reference No: 201805-2528-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Evaluation of the Supportive Services Demonstration
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/02/2018
	Date Received in OIRA: 07/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved
Responses	580	0	0
Time Burden (Hours)	1,151	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S.Department of Housing and Urban Development (HUD) has contracted with Abt Associates Inc. to conduct and evaluate HUD’s Supportive Services Demonstration (SSD), also referred to as Integrated Wellness in Supportive Housing (IWISH). The SSD is a three year demonstration sponsored by HUD to test the impact of a new model of housing-based supportive services on the healthcare utilization and housing stability of low-income older adults. The goal of the SSD model is to help older adults in HUD-assisted housing to age in place successfully. The SSD model funds a full-time Resident Wellness Director (RWD) and part-time Wellness Nurse (WN) to work in HUD assisted housing developments that either predominantly or exclusively serve households headed by people aged 62 or over. These services are not typically available in HUD-assisted housing developments for this population and are anticipated to positively impact outcomes.

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Authorizing Statute(s): US Code: 12 USC 1701z-1 Name of Law: Research and Demonstration
  

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:
	83 FR 8691	02/28/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 3661	07/30/2018
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
Focus Groups with Residents
Focus Groups with Caregivers
Initial Questionnaire
Interviews

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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	580	0	0	580	0	0
Annual Time Burden (Hours)	1,151	0	0	1,151	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: This is a new collection for the Supportive Services Demonstration program.

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Annual Cost to Federal Government: $2,691,632

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 07/30/2018

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