Information Collection Request

Evaluation of the Family Unification Program

ICR 202108-0970-015 · OMB 0970-0514 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix I IRB Approval Letter.pdf Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix B Informed Consent Form.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix H Guide to Develop an Evaluation Plan for PHA FUP Management.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix G Guide to Develop an Evaluation Plan for PCWA FUP Management.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix F Guide for Recruitment with PHA and PCWA Administrators.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix E Outreach Call Script for Parents.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix D Informed Consent for Staff.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix C Informed Consent for Parents.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Appendix A Informed Consent Script.docx Supplementary Document Uploaded 2021-08-25 Repair queued
Supporting Statement B_FUP_0970-0514_FINAL.docx Supporting Statement B Uploaded 2021-08-25 Repair queued
Supporting Statement A_FUP_0970-0514_FINAL.docx Supporting Statement A Uploaded 2021-08-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232070 Instrument 18: Administrative Data List Other-Admin Data List Modified
232069 Instrument 17: Dashboard Other-Dashboard Modified
232060 Instrument 16: Ongoing Services Questionnaire Other-Questionnaire Modified
232059 Instrument 15: Housing Assistance Questionnaire Other-Questionnaire Modified
232058 Instrument 14: Randomization Tool Other-Randomization Tool Modified
232057 Instrument 13: Referral Form Other-Referral Form Modified
232056 Instrument 12: Housing Status Form Other-Housing Status Form Modified
232055 Instrument 11: Guide for Implementation Study for Service Provider Management Other-Implementation Study Guide Modified
232054 Instrument 10: Guide for Implementation Study for PCWA FUP Management (Third) Other-Implementation Study Guide Modified
232053 Instrument 9: Guide for Implementation Study Focus Groups with Frontline Workers Other-Focus Group Guide Modified
232052 Instrument 8: Guide for Implementation Study for Parents (Second, Third) Other-Implementation Study Guide Modified
232051 Instrument 7: Guide for Implementation Study Focus Groups with PHA Frontline Workers Other-Focus Group Guide Modified
232050 Instrument 6: Guide for Implementation Study for PHA FUP Management Other-Implementation Study Guide Modified
232049 Instrument 5: Guide for Implementation Study with PCWA FUP Management (Second) Other-Implementation Study Guide Modified
232048 Instrument 4: Guide for Implementation Study for Referral Provider Administrators Other-Implementation Study Guide Modified
232047 Instrument 3: Guide for Implementation Study for CoC Management Other-Implementation Study Guide Modified
232046 Instrument 2: Guide for Implementation Study for PHA Management Other-Implementation Study Guide Modified
232045 Instrument 1: 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 Removed
232043 Appendix B: Guide to Develop an Evaluation Plan for PCWA FUP Management Other-Eval Plan Guide Removed
232042 Appendix A: Guide for Recruitment with PHA and PCWA Administrators Other-Recruitment Guide Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
2,768 8,073
355 849
0 0





table that charts list of burden
  Total Request 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 2,768 8,073 0 -5,305 0 0
Annual Time Burden (Hours) 355 849 0 -494 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No