30-Day Notice

71518

Federal Register / Vol. 86, No. 239 / Thursday, December 16, 2021 / Notices

khammond on DSKJM1Z7X2PROD with NOTICES

a. New and improved instructions
make it clear when it is appropriate to
submit a request for case assistance and
who can submit a request.
b. New instructions were added to the
beginning of each section of the form;
previously they were listed on a
separate form.
b. To reduce processing time:
a. Form sections were re-ordered (see
below) and expanded to obtain more
information up front and in a logical
order.
b. Enhanced instructions clarify the
supporting documentation needed to
submit along with the form to reduce
the number of times customers are
asked to provide additional
documentation.
The revised DHS Form 7001 includes
these re-ordered and named sections; 3
new sections are indicated in bold:
1. Actions Taken with USCIS for
Resolution
a. Other Actions Taken
2. Reasons for Requesting Case
Assistance
3. Applications/Petitions Filed
4. Type of Benefit Sought
5. Name of Applicant or Petitioner
6. Contact Information
7. Identification
8. Supporting Documentation
9. Consent for Applicant/Petitioner
10. Consent for Attorney/Accredited
Representative
11. Consent for Family Member
Applicants
12. Beneficiary Information for
Employment-Based Petitions
OMB is particularly interested in
comments that:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the

use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting the electronic
submission of responses.
Analysis
Agency: Department of Homeland
Security (DHS).
Title: Office of the Citizenship and
Immigration Services Ombudsman
Request for Case Assistance (DHS Form
7001).
OMB Number: 1601–0004.
Frequency: Annually.
Affected Public: Members of the
Public.
Number of Respondents: 18,000.
Estimated Time per Respondent: 1
Hour.
Total Annual Reporting Burden
Hours: 18,000.
Robert Dorr,
Executive Director, Business Management
Directorate.
[FR Doc. 2021–27250 Filed 12–15–21; 8:45 am]
BILLING CODE 9112–FL–P

DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
[Docket No. FR–7034–N–71; OMB Control
No: 2528–New]

30-Day Notice of Proposed Information
Collection: Older Adult Home
Modification Evaluation
Office of the Chief Information
Officer, HUD.
ACTION: Notice.
AGENCY:

HUD is seeking approval from
the Office of Management and Budget
(OMB) for the information collection
described below. In accordance with the
Paperwork Reduction Act, HUD is
requesting comment from all interested
parties on the proposed collection of
information. The purpose of this notice
is to allow for 30 days of public
comment.

SUMMARY:

DATES:

Comments Due Date: January 18,

2022.
Interested persons are
invited to submit comments regarding
this proposal. Written comments and

ADDRESSES:

recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to OIRA_submission@
omb.eop.gov or www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT:

Anna P. Guido, Reports Management
Officer, QMAC, Department of Housing
and Urban Development, 451 7th Street
SW, Washington, DC 20410; email her at
[email protected] or telephone
202–402–5535. This is not a toll-free
number. Person with hearing or speech
impairments may access this number
through TTY by calling the toll-free
Federal Relay Service at (800) 877–8339.
Copies of available documents
submitted to OMB may be obtained
from Ms. Guido.
This
notice informs the public that HUD is
seeking approval from OMB for the
information collection described in
Section A.
The Federal Register notice that
solicited public comment on the
information collection for a period of 60
days was published on September 14,
2021 at 86 FR 51178.

SUPPLEMENTARY INFORMATION:

A. Overview of Information Collection
Title of Information Collection: Older
Adult Home Modification Evaluation.
OMB Approval Number: 2528–New.
Type of Request: New collection.
Form Number: N/A.
Description of the need for the
information and proposed use: Congress
authorized HUD to make grants to
experienced non-profit organizations,
States, local governments, or public
housing agencies for safety and
functional home modification repairs to
meet the needs of low-income elderly
homeowners to enable them to remain
in their primary residence. This
information collection supports HUD’s
evaluation on the effectiveness of the
grants. HUD will both evaluate grantee
implementation and the impact of the
modification on the client recipients
whose homes are modified.

TABLE 6—ESTIMATED TIME AND COSTS TO GRANTEE RESPONDENTS f
Information collected

Number of
respondents

Frequency
of response

4,478
2,790

1
1

4,478
2,790

0.08
0.08

358
223

$33.46
33.46

$11,987
7,468

2,250
32

1
1

2,250
32

0.50
4.00

1,125
128

33.46
33.46

37,643
4,283

Client Eligibility Documentation Form a .........................
Lost-to-Project Form b ...................................................
OAHM Program Documentation of Work Completed
Form c ........................................................................
Grantee Process Evaluation Online Survey Year 1 d ...

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per annum

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Burden hour
per response

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per annum

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Hourly cost
per response

Annual cost

71519

Federal Register / Vol. 86, No. 239 / Thursday, December 16, 2021 / Notices
TABLE 6—ESTIMATED TIME AND COSTS TO GRANTEE RESPONDENTS f—Continued
Number of
respondents

Frequency
of response

Grantee Site Visit Interview Guide e .............................

5.3

2

10.6

2.00

21

33.46

709

Total Annual ...........................................................

....................

....................

9,560.60

6.66

1,856

........................

62,090

Total over 3 Years .................................................

....................

....................

....................

20.00

5,568

........................

186,270

Information collected

Responses
per annum

Burden hour
per response

Burden hours
per annum

Hourly cost
per response

Annual cost

a Grantees

are expected to complete the Client Eligibility Documentation form for all applicants, an estimated total of 13,433 forms over the three-year period of the
OAHMP grant, or approximately 4,478 per year. This estimate is calculated based upon the assumption that 33% of applicants (approximately 4,433) will be determined ineligible for the program, and the $30 million in funding for the program will deliver home modifications to 9,000 eligible clients at an estimated average cost of
$3,000 per home.
b Grantees are required to complete forms for all cases lost to the evaluation, estimated at 2,790 forms per year. This total reflects the three categories of lost to
follow-up from the 4,478 estimated applicants per year: (1) 33% (∼1,478) expected to be determined ineligible; (2) an additional 25% (∼750) expected to decline to
participate in the evaluation; and (3) an additional 25% (∼562) expected to be lost to project follow up by the end of the evaluation period.
c Of the 3,000 clients per year, 75% (∼2,250) are expected to sign the Informed Consent to participate in the evaluation.
d One PM from each of up to 32 grantees will complete the Grantee Process Evaluation Online Survey annually.
e The Contractor will administer the Grantee Site Visit Interview Guide to up to two grantee representatives during up to 16 site visits.
f Numbers may not sum due to rounding.

TABLE 7—ESTIMATED TIME AND COSTS TO CLIENT RESPONDENTS f
Number of
respondents

Frequency
of response

3,000

1

3,000

0.10

300

$11.31

$3,393

1,688
2,250
3,000
1,688
2,250

1
1
1
1
1

1,688
2,250
3,000
1,688
2,250

0.10
0.25
0.42
0.42
0.33

169
563
1260
709
743

11.31
11.31
11.31
11.31
$11.31

1,909
6,362
14,251
8,018
$8,398

1,688

1

1,688

0.33

557

11.31

6,300

188
169

1
1

188
169

0.08
0.50

15
85

11.31
11.31

170
956

Total Annual ...........................................................

....................

....................

15,921

2.53

4,399

........................

49,757

Total Over 3 Years ................................................

....................

....................

....................

7.59

13,197

........................

149,271

Information collection
OAHM Client Program Questionnaire (Baseline) a .......
OAHM Client Program Questionnaire (Post-modification) c ..........................................................................
OAHM Program Evaluation Informed Consent b ..........
Home Hazard Checklist (Baseline) a .............................
Home Hazard Checklist (Post-modification) c ...............
OAHM Client Impact Evaluation Interview (Baseline) b
OAHM Client Impact Evaluation Interview (Post-modification) c ....................................................................
Script to Schedule Client Process Evaluation Interview e .........................................................................
Client Process Evaluation Interview d ...........................

Responses
per annum

Burden hour
per response

Burden hours
per annum

Hourly cost
per response

Annual cost

a The

program is expected to deliver home modifications to 9,000 eligible clients over the three-year period, or 3,000 clients per year. The Client Program Questionnaire will be administered and Home Hazard Checklist conducted prior to home modification being implemented (i.e., at baseline).
b Of the 3,000 clients per year, 75% (2,250) are expected to sign the Informed Consent to participate in the evaluation. The Client Impact Evaluation Interview will
administered once consent is granted (i.e., at baseline).
c Of the 2,250 participating clients per year, 75% (1,688) are expected to remain in the project to receive home modifications. After home modifications are complete, the Client Program Questionnaire will be re-administered, the Home Hazard Checklist will be conducted again, and the Client Impact Evaluation Interview will
be repeated (i.e., post-modification).
d Of the annual 1,688 clients who complete the program, 10% (169) will be interviewed about the process.
e 10% of those contacted for the process interview are expected to decline; to interview 169 clients, the Contractor expects to need to contact 188 clients.
f Numbers may not sum due to rounding.

ESTIMATED COMBINED TIME AND COSTS
Annualized
total grantee
Hours ....................................................................................
Costs ....................................................................................

B. Solicitation of Public Comment

khammond on DSKJM1Z7X2PROD with NOTICES

This notice is soliciting comments
from members of the public and affected
parties concerning the collection of
information described in Section A on
the following:
(1) Whether the proposed collection
of information is necessary for the
proper performance of the functions of
the agency, including whether the
information will have practical utility;
(2) If the information will be
processed and used in a timely manner;

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Annualized
total client

1,856
$62,090

4,399
$49,757

Annualize
total combined

Total number
of years

6,255
$111,847

3
3

Total over
three years
18,765
$335,541

(3) The accuracy of the agency’s
estimate of the burden of the proposed
collection of information;

HUD encourages interested parties to
submit comment in response to these
questions.

(4) Ways to enhance the quality,
utility, and clarity of the information to
be collected; and

C. Authority

(5) Ways to minimize the burden of
the collection of information on those
who are to respond; including through
the use of appropriate automated
collection techniques or other forms of
information technology, e.g., permitting
electronic submission of responses.

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Section 3507 of the Paperwork
Reduction Act of 1995, 44 U.S.C.
Chapter 35.
Anna P. Guido,
Department Reports Management Officer,
Office of the Chief Information Officer.
[FR Doc. 2021–27211 Filed 12–15–21; 8:45 am]
BILLING CODE 4210–67–P

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