Information Collection Request

Phase 1 Evaluation of the Housing Choice Voucher Mobility Demonstration

ICR 202101-2528-005 · OMB 2528-0337 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Final - Attachment F Baseline Information and Survey Detailed Item Justification.docx Supplementary Document Uploaded 2021-10-19 Repair queued
Final - Attachment A HCV Mobility Demonstration Research Questions.docx Supplementary Document Uploaded 2021-10-19 Repair queued
30-Day Notice.pdf Supplementary Document Uploaded 2021-10-19 Repair queued
Final -HCV Mobility Part B.docx Supporting Statement B Uploaded 2021-10-19 Repair queued
Final -HCV Mobility Part A.docx Supporting Statement A Uploaded 2021-10-19 Repair queued
60 Day Notice Phase 1 Evaluation of the Housing Choice Voucher Mobility Demonstration.pdf Supplementary Document Uploaded 2021-10-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249837 PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other- Revised - Attachment P Phase 2 Other Adult Household Memb New
249835 PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other- Revised - Attachment O Phase 2 Head of Household Waitlist New
249834 PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment N Phase 2 HoH Existing Voucher Holder New
249833 COST STUDY DATA COLLECTION OUTREACH Other-Revised - Attachment M Cost Interview Advance Letter New
249832 Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment L Landlord Interview Advance Letter New
249829 Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment K Mobility Services Provider Intervie New
249828 Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment J Family Interview Email Reminder New
249827 Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment I Family Interview Advance Letter New
249826 HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM Other-Revised - Attachment H Head of Household Family Interview New
249825 Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment G Mobility Services Tracking Tool New
249824 PARENT/GUARDIAN PERMISSION FORM Other-Revised - Attachment E Parent Guardian Permission Form New
249823 OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment D Other Adult Household Member Inform New
249822 HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment C Head of Household Waitlist Family I New
249821 PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other- Revised - Attachment B Head of Household Existing Voucher New
249820 COST DATA COLLECTION INTERVIEW GUIDE Other-Revised - Instrument 8 Interview Guide for Cost Data Colle New
249819 INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS Other- Revised - Instrument 7 Interview Guide for Participating New
249818 INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP Other-Revised - Instrument 6 Interview Guide for Leased Up Famil New
249817 INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING Other-Revised - Instrument 5 Interview Guide for Searching Famil New
249816 MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE Other- Revised - Instrument 4 Mobility Services Provider Intervi New
249815 PHA STAFF INTERVIEW GUIDE Other- Revised - Instrument 3 PHA Staff Interview Guide New
249814 BASELINE SURVEY Other- Revised - Instrument 2 HCV Mobility Evaluation Baseline S New
249811 HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM Other- Revised - Instrument 1 Household Roster and Baseline Info New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2025 36 Months From Approved
101,941 0 0
33,687 0 0
0 0 0





Reginfo record details
22
table that charts list of burden
IC Title Form No. Form Name
BASELINE SURVEY
COST DATA COLLECTION INTERVIEW GUIDE
COST STUDY DATA COLLECTION OUTREACH
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM
Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION
PARENT/GUARDIAN PERMISSION FORM
PHA STAFF INTERVIEW GUIDE
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION

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 101,941 0 0 101,941 0 0
Annual Time Burden (Hours) 33,687 0 0 33,687 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No