Justification

Phase 1 Evaluation of the Housing Choice Voucher Mobility Demonstration

ICR Reference Number 202101-2528-005

OMB Control Number 2528-0337

Revision request to Instrument 1 Household Roster and Baseline Information Form

Background: The HCV Mobility Demonstration (aka Community Choice Demonstration) is enrolling households with at least once child aged 17 or under that are currently participating in the HCV program or are eligible for the HCV program. As part of the study enrollment process, the head of household must consent to participate in the study and either the head of household or other adult living in the household must provide permission for the child to participate. The OMB approved version of Instrument 1 Household Roster and Baseline Information Form is structured with the assumption that the head of household is always the parent or guardian of the eligible child and the one providing permission for them to participate.

Request for OMB: We would like to revise the instrument to capture information to:

1. Document that the parent/guardian providing permission for the child to participate lives in the household, even if they are not the head of household.

2. Track the name of the parent/guardian providing permission.

3. Document the relationship between the parent/guardian and child to ensure the person is able to provide consent.

We are not requesting to add additional questions to the instrument, but simply to add three additional response options to Question 5. These changes would not change the burden estimate for the data collection.