Information Collection Request

ICR 202106-0970-005 · OMB 0970-0514 · Public filing

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0514 can be found here:

2021-08-27 - Extension without change of a currently approved collection

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
NonSub Change Request FUP Eval_COVID Qs June 2021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-06-21	Available
NonSub Change Request FUP Eval_Parents - September 2020.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-09-15	Repair queued
Attachment 1B-Informed Consent Form_CLEAN.DOCX	Supplementary Document	Uploaded 2020-09-15	Repair queued
NonSub Change Request FUP Eval_COVID Qs.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-05-07	Available
NonSub Change Request - 0970-0514 (04-03-2020).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-04-03	Repair queued
Attachment 8 - FUP logic Model 062018.docx	Supplementary Document	Uploaded 2018-07-06	Repair queued
Attachment 7 - FUP Evaluation Information Sheet _062718_rev.docx	Supplementary Document	Uploaded 2018-07-06	Repair queued
Attachement 6 - Outreach call script for parents_CLEAN.DOCX	Supplementary Document	Uploaded 2020-09-14	Repair queued
Attachment 5 - Outreach Email_Template_Clean.docx	Supplementary Document	Uploaded 2020-04-03	Repair queued
Attachment 4-Informed Consent for Staff 6-27-18.docx	Supplementary Document	Uploaded 2018-07-06	Repair queued
Attachment 3-Informed Consent for Parents_CLEAN.DOCX	Supplementary Document	Uploaded 2020-09-14	Repair queued
Attachment 2 - 60 day notice.pdf	Supplementary Document	Uploaded 2018-07-06	Repair queued
Attachment 1A-Informed Consent Form_CLEAN.DOCX	Supplementary Document	Uploaded 2020-09-15	Repair queued
FUP Part B Support Statement_09152020_CLEAN.DOCX	Supporting Statement B	Uploaded 2020-09-15	Repair queued
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 ID	Collection	Type	Status
232070	Appendix U: Administrative Data List	Other-Admin Data List	Unchanged
232069	Appendix T: Dashboard	Other-Dashboard	Unchanged
232060	Appendix S: Ongoing Services Questionnaire	Other-Questionnaire	Unchanged
232059	Appendix R: Housing Assistance Questionnaire	Other-Questionnaire	Unchanged
232058	Appendix Q: Randomization Tool	Other-Randomization Tool	Unchanged
232057	Appendix P: Referral Form	Other-Referral Form	Unchanged
232056	Appendix O: Housing Status Form	Other-Housing Status Form	Unchanged
232055	Appendix N: Guide for Implementation Study for Service Provider Management	Other-Implementation Study Guide	Modified
232054	Appendix M: Guide for Implementation Study for PCWA FUP Management (Third)	Other-Implementation Study Guide	Modified
232053	Appendix L: Guide for Implementation Study Focus Groups with Frontline Workers	Other-Focus Group Guide	Modified
232052	Appendix K: Guide for Implementation Study for Parents (Second, Third)	Other-Implementation Study Guide	Unchanged
232051	Appendix J: Guide for Implementation Study Focus Groups with PHA Frontline Workers	Other-Focus Group Guide	Modified
232050	Appendix I: Guide for Implementation Study for PHA FUP Management	Other-Implementation Study Guide	Modified
232049	Appendix H: Guide for Implementation Study with PCWA FUP Management (Second)	Other-Implementation Study Guide	Modified
232048	Appendix G: Guide for Implementation Study for Referral Provider Administrators	Other-Implementation Study Guide	Modified
232047	Appendix F: Guide for Implementation Study for CoC Management	Other-Implementation Study Guide	Unchanged
232046	Appendix E: Guide for Implementation Study for PHA Management	Other-Implementation Study Guide	Modified
232045	Appendix D: Guide for Implementation Study for PCWA Management	Other-Implementation Study Guide	Modified
232044	Appendix C: Guide to Develop an Evaluation Plan for PHA FUP Management	Other-Eval Plan Guide	Unchanged
232043	Appendix B: Guide to Develop an Evaluation Plan for PCWA FUP Management	Other-Eval Plan Guide	Unchanged
232042	Appendix A: Guide for Recruitment with PHA and PCWA Administrators	Other-Recruitment Guide	Unchanged

ICR Details

Record metadata
OMB Control No	0970-0514