Domestic Violence Housing First Demonstration Evaluation

Forms and Documents

Document	Type	Status	Availability
0990-0458_Supporting Statement A-OMB comments - Final 7.31.19.docx	Supporting Statement A	Uploaded 2019-08-30	Available
0990-0458 30-day FRN.pdf	Supplementary Document	Uploaded 2019-05-17	Available
60-Day FRN_template - DVHF Revision 1.2019.doc	Supplementary Document	Uploaded 2019-02-26	Repair queued
0990_Section B Supporting Statement DVHF Revised November 2018 clean.docx	Supporting Statement B	Uploaded 2019-02-26	Repair queued
30-day Federal Register, Volume 82 Issue 45 (Thursday, March 9, 2017).htm	Supplementary Document	Uploaded 2017-03-10	Repair queued
60-day Federal Register, Volume 81 Issue 235 (Wednesday, December 7, 2016).htm	Supplementary Document	Uploaded 2017-03-10	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
235049	24 Month Follow-up Interview	Other-Follow-up Interviews	New
226035	Form for community agency points of contact to verify agency information (monthly)	Other-listed	Unchanged
226034	Online survey of advocates' work	Other-form	Unchanged
226033	Online survey about advocates' work history and demographics	Other-survey	Unchanged
226032	Follow-up Interviews	Other-Follow up interview	Modified
226031	Time 1 (Baseline) Interview	Other-INTERVIEW	Modified

ICR Details

OMB Control No: 0990-0458	ICR Reference No: 201902-0990-004
Status: Active	Previous ICR Reference No: 201701-0990-004
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Domestic Violence Housing First Demonstration Evaluation
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: 08/30/2019
	Date Received in OIRA: 05/23/2019
Terms of Clearance: Approved consistent with the understanding that ASPE will continue to engage and coordinate with other Federal stakeholders involved in overlapping areas of domestic violence research and services---in particular HHS/CDC's National Center for Injury Prevention and Control.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved	08/31/2020
Responses	1,192	0	1,096
Time Burden (Hours)	1,183	0	1,063
Cost Burden (Dollars)	0	0	0

---

Abstract: The Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services, in partnership with the Office for Victims of Crimes within the U.S. Department of Justice, is seeking approval by OMB for a new information collection request entitled, ``Domestic Violence Housing First (DVHF) Demonstration Evaluation.'' The Washington State Coalition Against Domestic Violence (WSCADV) is overseeing and coordinating an evaluation of the DVHF Demonstration project through a contract with ASPE. This quasi-experimental research study involves longitudinally examining the program effects of DVHF on domestic violence survivors' safety and housing stability. The findings will be of interest to the general public, to policy-makers, and to organizations working with domestic violence survivors.

---

Authorizing Statute(s): US Code: 28 USC 530C Name of Law: Authority to use available funds
   US Code: 42 USC 10603(c)(4) Name of Law: Crime Victim Assistance
   US Code: 42 USC 10603(c)(1)(A) Name of Law: Crime Victim Assistance
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 7909	03/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 95	05/16/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Follow-up Interviews
Form for community agency points of contact to verify agency information (monthly)
Time 1 (Baseline) Interview
Online survey about advocates' work history and demographics
Online survey of advocates' work
24 Month Follow-up Interview

---

ICR Summary 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	1,192	1,096	0	96	0	0
Annual Time Burden (Hours)	1,183	1,063	0	120	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: The Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services, in partnership with the Office for Victims of Crimes within the U.S. Department of Justice, is seeking approval by OMB for a revision to add a 24-month follow-up data collection to an existing information collection request entitled, “Domestic Violence Housing First (DVHF) Demonstration Evaluation” (OMB Control Number: HHS-OS-0990-0458). The proposed revision to the collection would add a fourth follow-up data collection to be administered 24 months after study enrollment (Time 1) to examine longer-term impacts of the Domestic Violence Housing First Demonstration program. The follow-up survey is identical to the one used at the 6, 12, and 18 month follow-up. The respondents are domestic violence survivors who are enrolled in the Domestic Violence Housing First Demonstration Evaluation (OMB Control Number HHS-OS-0990-0458). Study enrollment is taking place over 15 months, so the annualized burden for the 24-month follow-up survey is based on 12/15 (256) of the expected sample (320).

---

Annual Cost to Federal Government: $562,036

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.     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

---

Common Form ICR:  No

---

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: 05/23/2019

---