OMB2502-NEW_EquityInHousingCounselingSurvey

Equity in Housing Counseling Survey
OMB Approval No. 2502-NEW
Exp. / /
Public Reporting Burden for this collection of information is estimated to be .25 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. This agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless that
collection displays a valid OMB control number.
This information is collected in connection with HUD’s Housing Counseling Program and will be used to determine eligibility for Program
participation under Section 106 of the Housing and Community Development Action of 1974. The information is considered sensitive
and is protected by the Privacy Act which requires the records to be maintained with appropriate administrative, technical and physical
safeguards to ensure their security and confidentiality.

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Equity in Housing Counseling Survey
Thank you for participating in our survey.
Thank you for participating in our survey. Our goal is to utilize this data to inform decisions that will
help to promote wealth-building through homeownership in underrepresented communities. The
information gathered here is for research and informational purposes only and will not be used in any
funding or performance review decisions.
Please respond to the best of your ability based on agency information for FY2021 (Oct 2020 - Sep
2021).
Please submit only one survey response for the agency listed in the email you received, and be sure
to include information from any of your branch agencies that do not submit their own 9902 reporting
forms.
As a thank you to those who successfully complete this survey, some agencies will be selected to
attend a virtual “coffee” listening session with HUD's Housing Counseling leadership to discuss
equity innovations in Housing Counseling.

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Equity in Housing Counseling Survey
Agency Information
Please provide some basic information about your agency.
* 1. Please enter your agency information
Agency name:
Your agency's HCS ID
(This is not your MX
Number):

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Equity in Housing Counseling Survey
Target Audience
Please provide some information about HUD's target audience and how you serve them. Target
Audience refers to those populations that are underserved racially, culturally, and linguistically.
* 2. How well are you serving the following groups in your approved coverage area?
Exemplary

Adequately

Needs Improvement

Not serving

African American/Black
Asian American
Latinx/Hispanic
White/Caucasian
American Indian/Alaska
Native
Native Hawaiian/Pacific
Islander

* 3. Which groups would you like to serve better?
African American/Black
Asian American
Latinx/Hispanic
White/Caucasian
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
None of the above

* 4. Approximately what percentage of the clients from your approved coverage area are from urban,
suburban, rural areas? (Please enter whole numbers without the % sign)
Urban
Suburban
Rural

* 5. How many people seek your services that are located outside of your approved coverage area? Please
give an estimate.

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* 6. Of the number given in the previous question, approximately what percentage are from urban, suburban,
rural areas? (Please enter whole numbers without the % sign)
Urban
Suburban
Rural

* 7. Approximately what percentage of your clients are experiencing homelessness? (Please enter whole
numbers without the % sign)

8. In what ways is the COVID-19 pandemic continuing to impact your agency (or affiliates/branches if you are
a parent organization) and your ability to serve the target population(s)?
Office operations changes

IT and/or privacy concerns with virtual engagement

Reductions in staff

Increased costs

Reduction in clients served
Increase in clients served
Other (please separate each with a ";")

None of the above

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Equity in Housing Counseling Survey
Staff Info
Please provide some information about your staff.
* 9. What is the approximate percentage racial makeup of your Housing Counseling staff? (Please enter
whole numbers without the % sign)
African American/Black
Asian American
Latinx/Hispanic
White/Caucasian
American Indian/Alaska
Native
Native Hawaiian/Pacific
Islander

* 10. Approximately what percentage of your Housing Counseling staff are currently homeowners? (Please
enter whole numbers without the % sign)

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Equity in Housing Counseling Survey
Best Practices
Please provide some information about your best practices. Target Audience refers to those
populations that are underserved racially, culturally, and linguistically.
* 11. What current best practices do you believe are helping your agency successfully reach the target
audience?
Print Media

Word of Mouth

Radio or TV Ads

Partner Referrals

Social Media

None of the above

Other (please separate each with a ";")

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Equity in Housing Counseling Survey
Partnerships
Please provide some information about your partnerships.
* 12. Please indicate which groups you are partnering with and which you would like to partner with.
Current Partner

Desired Partner

N/A

Community-based
organizations
City/municipal
departments
State agencies
Mortgage lenders/Banks
Nonprofit organizations
Faith-based
organizations
For-Profit Organizations
Real Estate
Agencies/Brokers
Federal Agencies (other
than HUD)

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Equity in Housing Counseling Survey
Increase Capacity
Please help us identify resources that could help increase your capacity.
* 13. Please indicate what 3 resources you believe will make the biggest impact in increasing your agency's
capacity to serve the target audience and ensure racial equity in rental housing and homeownership.
Funding for Marketing

Funding for Outreach Materials

Best Practices Guide/Toolkit

Technology support

Trainings from HUD

Connection to mentor/peer organization

Funding for additional staff/hours
Connecting with language support
Other (please separate each with a ";")

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Equity in Housing Counseling Survey
Outreach/Marketing Materials
Please provide some information about your outreach and marketing materials.
* 14. In what languages are you able to provide the following items? If you can provide items in languages not
listed below, please enter them in the "Other" option.
Resources

Marketing Materials

Counseling Services

English
Spanish
Chinese (including
Mandarin, Cantonese,
Hokkien, etc)
Tagalog (including
Filipino)
Vietnamese
Arabic
French
Korean
Other (please specify)

* 15. What resources do you utilize for translation when a client requires housing counseling services, but no
staff member speaks their language?
Language support line

Ask client to return with translator (such as family member)

Refer to other housing counseling agency

Say you can’t help

Refer to advocacy program
Other (please separate each with a ";")

* 16. If you have you encountered situations where cultural dynamics/sensitivities affect your ability to provide
services, please indicate how. If you have not, please enter "N/A" below.

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* 17. Is your agency equipped to handle the following cultural dynamics of your clients?
Gender role differences
Culturally significant holidays
Financial priorities of different cultures
Culturally unique living situations
We are interested in training in the above areas
No, we are not equipped to handle these cultural dynamics
Other (please separate each with a ";")

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Equity in Housing Counseling Survey
Ready to Submit?
Thank you for taking the time to complete the survey!
To submit your answers please click the "Done" button below. Your agency will then be entered into
consideration for a virtual “coffee” listening session with HUD's Housing Counseling leadership.

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