Crosswalk (New Items)

MCBS Revision to Current Clearance
Proposed Changes to Community and Facility Interviews and Effect on Burden
Summer
2021
Round 90

Fall
2021
Round 91

Effect on
Annual
Burden

CVQ

Increase of Increase of
15 minutes 15 minutes

Increase of
15 minutes

Increase of
45 minutes

For full section details, please see questionnaire PDF section “2020_COVID19_CVQ” in Attachment 3. Community Instruments and Showcards

CV

Increase of Increase of
15 minutes 15 minutes

Increase of
15 minutes

Increase of
45 minutes

For full section details, please see questionnaire PDF section “Fac2020_COVID19_CV” in Attachment 5. Facility Instruments and Showcards.

Type of Interview Change
(Addition/Deletion/Change)

Interview

Section

Addition

Community

Addition

Facility

Winter
2021
Round 89

Question Name

Question text

Skip instructions

SHOW CARD HA4

Addition

Community

HAQ

-

-

Increase of Increase of
0.66 minutes 0.66 minutes

What is [your/(SP’s)] living situation today?
HOUSPROB

LIVNGSIT
[IF NEEDED: Not having a steady place to live includes temporarily staying with others, in a
hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or
train station, or in a park.]

SHOW CARD HA5
HOUSPROB

Think about the place [you/(SP)] [live/lives]. [Do you/does (SP)] have problems with any of
the following?

BOX HA4

SELECT ALL THAT APPLY

Addition

Community

HFQ

-

-

Increase of Increase of
0.33 minutes 0.33 minutes

SHOW CARD HF13
BOX HFT1

SOCISOLA
How often [do you/does (SP)] feel lonely or isolated from those around [you/him/her]?

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