VHA Homeless Programs - Project CHALENG (Community Homelessness Assessment, Local Education and Networking Groups) for Veterans

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-10162 Provider Survey	Form and Instruction	Modified	Available
Form 10-10162 Provider Survey	Form and Instruction	Modified	Repair queued
Form 10-10161 Veteran Assessment	Form and Instruction	Modified	Available
Form 10-10161 Veteran Survey	Form and Instruction	Modified	Repair queued
30-day FRN_VHA Homeless Programs_Project CHALENG_published 09152021.pdf	Supplementary Document	Uploaded 2021-09-17	Repair queued
60-day FRN_VHA Homeless Programs_Project CHALENG_published 07022021.pdf	Supplementary Document	Uploaded 2021-09-10	Available
Supporting Statement A_VHA Homeless Program - Project CHALENG_updated Sep 2021.docx	Supporting Statement A	Uploaded 2021-09-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216768	Provider Survey	Form and Instruction	Modified	Provider Survey
216768	Provider Survey	Form and Instruction	Modified
216767	Veteran Survey	Form and Instruction	Modified	Veteran Assessment
216767	Veteran Survey	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0843	ICR Reference No: 202103-2900-027
Status: Historical Active	Previous ICR Reference No: 201803-2900-005
Agency/Subagency: VA	Agency Tracking No: 2900-0843
Title: VHA Homeless Programs - Project CHALENG (Community Homelessness Assessment, Local Education and Networking Groups) for Veterans
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: 10/25/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/17/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved	10/31/2021
Responses	4,800	0	9,700
Time Burden (Hours)	480	0	1,205
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Veterans Affairs (VA) launched Project CHALENG (Community Homelessness Assessment, Local Education and Networking Groups) for Veterans in 1993 in response to Public Law 102-405, which required VA to make an assessment of the needs of homeless Veterans in coordination with other Federal departments, state and local government agencies, and nongovernmental agencies with experience working with homeless persons. Since 1993, VA has administered a needs assessment in accordance with guidance in Public Law 103-446 and Public Law 105-114. This collection of information is necessary to ensure that VA and community partners are developing services that are responsive to the needs of local homeless Veterans, in order to end homelessness and prevent new Veterans from experiencing homelessness. Over the years data from CHALENG has assisted VA in developing new services for Veterans such as the Homeless Veteran Dental Program (HVDP), the expansion of the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) Program, the Veterans Justice Programs and Supportive Services for Veteran Families (SSVF). In addition community organizations use CHALENG data in grant applications to support services for homeless Veterans; grant applications are for VA, other Federal, local government, and community foundation dollars, which maximizes community participation in serving homeless Veterans. This collection will be an update of a collection approved in 2018. Revisions to the collection were made based on input provided by VA staff members to reduce the number of questions in the surveys. The collection consists of two forms/surveys: one for Veterans (VA Form 10-10161) and one for VA staff members, community homeless providers, and interested community members (VA Form 10-10162). The only difference between the two forms/surveys are the introductory demographic questions; the survey is the same for both groups.

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Authorizing Statute(s): None

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:
	86 FR 35380	07/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51452	09/15/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Provider Survey	10-10162	Provider Survey
Veteran Survey	10-10161	Veteran Assessment

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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	4,800	9,700	0	0	-4,900	0
Annual Time Burden (Hours)	480	1,205	0	-725	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revisions to the burden of this collection were made based on input provided by VA staff members to reduce the number of questions in the surveys. The number of anticipated respondents is changed based upon the respondent history for this collection.

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Annual Cost to Federal Government: $104,700

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     No

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? No

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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: 09/17/2021

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