Information Collection Request
The Community Choice Demonstration
ICR 202403-2528-004 · OMB 2528-0337 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2528-0337 can be found here:
Forms and Documents
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266091 |  PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment P Phase 2 Other Adult Household Membe | New | |
| 266090 | PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment O Phase 2 Head of Household Waitlist | New | |
| 266089 | PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment N Phase 2 HoH Existing Voucher Holder | New | |
| 266088 | PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment B Head of Household Existing Voucher | New | |
| 266087 | PHA STAFF INTERVIEW GUIDE |
Other-Revised - Instrument 3 PHA Staff Interview Guide | New | |
| 266086 | PARENT/GUARDIAN PERMISSION FORM |
Other-Revised - Attachment E Parent Guardian Permission Form | New | |
| 266085 | OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment D Other Adult Household Member Inform | New | |
| 266084 | Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration |
Other-Revised - Attachment G Mobility Services Tracking Tool | New | |
| 266083 | Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration |
Other-Revised - Attachment K Mobility Services Provider Intervie | New | |
| 266082 | MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE |
Other-Revised - Instrument 4 Mobility Services Provider Intervie | New | |
| 266081 | Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration |
Other-Revised - Attachment L Landlord Interview Advance Letter | New | |
| 266080 | INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP |
Other-Revised - Instrument 6 Interview Guide for Leased Up Famil | New | |
| 266079 | INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING |
Other-Revised - Instrument 5 Interview Guide for Searching Famil | New | |
| 266078 | INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS |
Other-Revised - Instrument 7 Interview Guide for Participating L | New | |
| 266060 | Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration |
Other-Revised - Attachment J Family Interview Email Reminder | New | |
| 266059 | Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration |
Other-Revised - Attachment I Family Interview Advance Letter | New | |
| 266058 | HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM |
Other-Revised - Instrument 1 Household Roster and Baseline Infor | New | |
| 266057 | HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION |
Other-Revised - Attachment C Head of Household Waitlist Family I | New | |
| 266056 | HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM |
Other-Revised - Attachment H Head of Household Family Interview | New | |
| 266055 | COST STUDY DATA COLLECTION OUTREACH |
Other-Revised - Attachment M Cost Interview Advance Letter | New | |
| 266054 | COST DATA COLLECTION INTERVIEW GUIDE |
Other-Revised - Instrument 8 Interview Guide for Cost Data Colle | New | |
| 266053 | BASELINE SURVEY |
Other-Revised - Instrument 2 HCV Mobility Evaluation Baseline Su | New | |
| 262928 | Tracking Calls |
Other-Tracking Calls | Unchanged | |
| 262927 | Tracking Emails/Texts |
Other-Tracking Emails/Texts | Unchanged | |
| 262926 | Semi-Structured Interviews |
Other-Semi-Structured Interviews | Unchanged | |
| 262925 | Consent for Semi-Structured Interviews |
Other-Consent for Semi-Structured Interviews | Unchanged | |
| 262924 | Blood Pressure Reading (adult) |
Other-Blood Pressure Reading (adult) | Unchanged | |
| 262922 | Accelerometers (child) |
Other-Accelerometers (child) | Unchanged | |
| 262921 | Accelerometers (adult) |
Other-Accelerometers (adult) | Unchanged | |
| 262919 | Home Observations/ Housing Assessment |
Other-Home Observations/ Housing Assessment | Unchanged | |
| 262916 | Blood Spot Samples (adult) |
Other-Blood Spot Samples (adult) | Unchanged | |
| 262915 | Anthropometric assessments (child, but accounting for parent's time) |
Other-Anthropometric assessments (child, but accounting for pare | Unchanged | |
| 262912 | Anthropometric assessments (child) |
Other-Anthropometric assessments (child) | Modified | |
| 262910 | Anthropometric assessments (adult) |
Other-Anthropometric assessments (adult) | Modified | |
| 262909 | Adult Survey |
Other-Adult Survey | Modified | |
| 262906 | Consent for Assessment |
Other-Consent for Assessment | Modified | |
| 262905 | Follow-up Call Phone Script |
Other-Follow-up Call Phone Script | Modified | |
| 262904 | Email Reminder |
Other-Email Reminder | Unchanged | |
| 262902 | Advance Letter |
Other-Advance Letter | Unchanged | |
| 262901 | Direct Child Assessment |
Other-Direct Child Assessment | Unchanged | |
| 262900 | Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment |
Other-Survey about child (asked of parent/guardian) and parent/g | Unchanged | |
| 262899 | Consent for Assessment |
Other-Consent for Assessment | Unchanged | |
| 262898 | Survey |
Other-Survey | Unchanged | |
| 262897 | Interviewer Observations |
Other-Interviewer Observations | Unchanged | |
| 262892 | Direct Measurements |
Other-Direct Measurements | Modified | |
| 262891 | Consent for Assessment |
Other-Consent for Assessment | Modified | |
| 262890 | Follow-up Call Phone Script |
Other-Follow-up Call Phone Script | Modified | |
| 262889 | Email Reminder |
Other-Email Reminder | Unchanged | |
| 262887 | Advance Letter |
Other-Advance Letter | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HUD/PD&R |
| OMB Control No | 2528-0337 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202310-2528-003 |
| Date Submitted to OIRA | 2024-03-21 |
| Requested Expiration Date | 1969-12-31 |