Instrument 18 Administrative Data List

Evaluation of the Family Unification Program

Instrument 18 Administrative Data List

OMB: 0970-0514

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Instrument 18: Administrative Data List



Instructions:

This information is being collected to inform the evaluation of the Family Unification Program (FUP) being conducted by a research team at the Urban Institute, Chapin Hall at the University of Chicago and Child Trends. This information will be used to inform the US Department of Health and Human Services Administration for Children and Families (HHS ACF) and the US Department of Housing and Urban Development to improve the administration of the FUP program. All the information you provide will be kept private to the extent permitted by law.

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The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to evaluate the effectiveness of the Family Unification Program.[3] Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0970-0514, Exp: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Michael Pergamit at [email protected].





To conduct the evaluation, we would like to collect the following administrative data for families involved in the evaluation from [SITE]: public child welfare agency data, public housing authority data, and homeless management information system data. We understand that not all items may be available in the formats described below. The data may be delivered in any format.

Specifically, we would like to collect the following data elements:

Public Child Welfare Agency

Sample

Every member of the household for families that are involved in the study

Years

[3 YEARS BEFORE THE FIRST FAMILY IS RANDOMIZED] – [2 YEARS AFTER THE LAST FAMILY IS RANDOMIZED]

Data Element

Notes

Demographics

For each member of the family:

Child Welfare ID

For linking

Research ID

For linking

Date of Birth


Race/Ethnicity


Sex


County Code

i.e. County FIPS Code or County Name

Out of home placement data

For each out-of-home placement:

Out of home placement start date

Date out-of-home placement started for each out-of-home placement episode

Removal start date

Date first removed

Removal reason

e.g. abuse, neglect, etc.

Placement setting

e.g. foster care, group home, etc.

Out of home placement end date

End date for each out-of-home placement episode

Date of discharge from foster care

Date removal ended

Discharge reason

e.g. reunification, guardianship, etc.

Case data

For each case:

Case open date

Date case opened

Case open reason

e.g. abuse, neglect, etc.

Case close date

Date case closed

Case close reason

e.g. reunification, guardianship, adoption etc.

Investigations and Reports data

For each report:

Report date

Date report was received

Report type

e.g. abuse, neglect, etc.

Report disposition

e.g. substantiated, founded, unsubstantiated, unfounded, etc.

Investigation start date

Date investigation was started

Investigation end date

Date investigation was ended

Other


TPR Date

Date of the Termination of Parental Rights (TPR)

TPR Parent/Child

Which parent and child the TPR was for

Ever TPR

For each parent, whether the parent has ever had a TPR

Age at first removal

For each child, age at first removal



Public Housing Authority

Sample

Every member of the household for families that are involved in the study

Years

[DATE FIRST FAMILY IS RANDOMIZED] – [2 YEARS AFTER THE LAST FAMILY IS RANDOMIZED]

Data Element

Notes

Demographics

For each member of the family:

Child Welfare ID

For linking

Research ID

For linking

Date of Birth


Relationship to the Head of the Household

(e.g. Head, Spouse, Youth)

Disability

Whether they have a disability

Race/Ethnicity


Sex


Rental Assistance Data

For each certification:

Effective start date

Date the certification period starts

Effective end date

Date the certification period ends

Type of assistance

e.g. Tenant-based voucher, project-based voucher, rental assistance, public housing, shelter plus care

Number of bedrooms

Number of bedrooms in the unit

Number of bathroom

Number of bathrooms in the unit

Square feet

Square feet of the unit

Year build

Year the unit was build

Zipcode

Zipcode of the Unit

Census tract

Census tract of the unit

Poverty level

Poverty level of the area the unit is in

UAP

Utility allowance the family receives

Family rent

The rent that the family pays the housing authority

HAP

Housing Choice Voucher Payment

Actual rent

Rent on the lease

Income type

e.g. Income, Asset

Income group

e.g. Welfare, Wages, Other

Income type description

e.g. TANF Assistance, Child Support, Unemployment

Income

Income Amount

Income excluded

Income NOT counted towards rent calculation

Income towards rent

Income counted towards rent calculation

Voucher Data

For each voucher

Date application received

Date application was received

Date voucher denied

Date the voucher was denied

Voucher denial reason

e.g. No show, sex offender in household, etc.

Date of voucher loss

Date the voucher was lost

Voucher loss reason

e.g. Port Out, Expired Voucher, Eviction, Over Income, etc.

Lease Up and Exit Data

For each lease up

Date of lease up

Date family signed a lease

Date exited housing

Date family gave up, lost, or broke the lease

Housing exit reason

e.g. Evicted, Lease Violation, Voluntary

Other Data


FSS program start date

Date family started the Family Self-Sufficiency Program

FSS progress

Progress on family’s plan

Escrow balance

Amount in family’s escrow account

FSS program end date

Date family ended the Family Self-Sufficiency Program



Homeless Management Information System

Sample

Every member of the household for families that are involved in the study

Years

[3 YEARS BEFORE THE FIRST FAMILY IS RANDOMIZED] – [2 YEARS AFTER THE LAST FAMILY IS RANDOMIZED]

Data Element

Notes

Demographics

For each member of the family:

Child Welfare ID

For linking

Research ID

For linking

Date of Birth


Disability

Whether they have a disability

Race/Ethnicity


Sex


Program Data

For each homeless spell

Program entry date

Date individual entered the program

Program exit date

Date individual exited the program

Program type

e.g. emergency shelter, transitional housing, etc.

Housing status at entry

e.g. literally homeless, unstably housed, imminently losing their housing, etc.

Prior night’s residence

e.g. rental by client, staying or living with family member, substance abuse treatment facility or detox center, etc.

Zipcode

Zipcode of last permanent address where client lived for at least 90 days

Assistance Provided

Types of assistance provided (e.g. back rent, move-in/security deposit)

Assistance Amount

Dollar amount of assistance provided

Exit Destination

e.g. rental by client, permanent supportive housing, emergency shelter



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHanson, Devlin
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File Created2022-10-19

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