Information Collection Request

Evaluation of the Family Unification Program

ICR 201807-0970-006 · OMB 0970-0514 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment 8 - FUP logic Model 062018.docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 7 - FUP Evaluation Information Sheet _062718_rev.docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 6 -Outreach Phone Call Script for Parents_062718_clean.docx Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 5 -Outreach Email - 06-27-2018 .docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 4-Informed Consent for Staff 6-27-18.docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 3-Informed Consent for Parents 06-27-2018.docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 2 - 60 day notice.pdf Supplementary Document Uploaded 2018-07-06 Available
Attachment 1-Informed Consent Form_06-27-18.docx Supplementary Document Uploaded 2018-07-06 Repair queued
FUP Part B Support Statement_062718_clean.docx Supporting Statement B Uploaded 2018-07-06 Available
FUP Part A Support Statement_082718 Clean.docx Supporting Statement A Uploaded 2018-09-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232070 Appendix U: Administrative Data List Other-Admin Data List New
232069 Appendix T: Dashboard Other-Dashboard New
232060 Appendix S: Ongoing Services Questionnaire Other-Questionnaire New
232059 Appendix R: Housing Assistance Questionnaire Other-Questionnaire New
232058 Appendix Q: Randomization Tool Other-Randomization Tool New
232057 Appendix P: Referral Form Other-Referral Form New
232056 Appendix O: Housing Status Form Other-Housing Status Form New
232055 Appendix N: Guide for Implementation Study for Service Provider Management Other-Implementation Study Guide New
232054 Appendix M: Guide for Implementation Study for PCWA FUP Management (Third) Other-Implementation Study Guide New
232053 Appendix L: Guide for Implementation Study Focus Groups with Frontline Workers Other-Focus Group Guide New
232052 Appendix K: Guide for Implementation Study for Parents (Second, Third) Other-Implementation Study Guide New
232051 Appendix J: Guide for Implementation Study Focus Groups with PHA Frontline Workers Other-Focus Group Guide New
232050 Appendix I: Guide for Implementation Study for PHA FUP Management Other-Implementation Study Guide New
232049 Appendix H: Guide for Implementation Study with PCWA FUP Management (Second) Other-Implementation Study Guide New
232048 Appendix G: Guide for Implementation Study for Referral Provider Administrators Other-Implementation Study Guide New
232047 Appendix F: Guide for Implementation Study for CoC Management Other-Implementation Study Guide New
232046 Appendix E: Guide for Implementation Study for PHA Management Other-Implementation Study Guide New
232045 Appendix D: Guide for Implementation Study for PCWA Management Other-Implementation Study Guide New
232044 Appendix C: Guide to Develop an Evaluation Plan for PHA FUP Management Other-Eval Plan Guide New
232043 Appendix B: Guide to Develop an Evaluation Plan for PCWA FUP Management Other-Eval Plan Guide New
232042 Appendix A: Guide for Recruitment with PHA and PCWA Administrators Other-Recruitment Guide New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved
8,073 0 0
849 0 0
0 0 0





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 8,073 0 0 7,872 201 0
Annual Time Burden (Hours) 849 0 0 831 18 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No