Evaluation of the Older Adults Home Modification Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
REV.Client Program Questionnaire_EOAHMP-C2 (Baseline and Post).docx	Supplementary Document	Uploaded 2024-11-20	Repair queued
REV.Client Impact Evaluation Interview_EOAHMP-C2 (Baseline and Post).docx	Supplementary Document	Uploaded 2024-11-20	Repair queued
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.docx	Supplementary Document	Uploaded 2024-11-20	Repair queued
83c_Older_Adult_Home_Modification-new(NB).docx	Supplementary Document	Uploaded 2024-11-20	Repair queued
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix H. Completed Work Documentation_EOAHMP-C2.DRAFT(clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix G. Lost-to-Project_EOAHMP-C2.DRAFT(clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix F. Client Impact Evaluation Interview_EOAHMP-C2.DRAFT (clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix E. Informed Consent_EOAHMP-C2.DRAFT(clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix D. Home Hazard Checklist_EOAHMP-C2.DRAFT(clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
Appendix C. Client Program Questionnaire_EOAHMP-C2.DRAFT (clean).docx	Supplementary Document	Uploaded 2024-10-15	Missing upstream
Appendix B. Client Eligibility _EOAHMP-C2.DRAFT (clean).docx	Supplementary Document	Uploaded 2024-10-15	Repair queued
83c_Older_Adult_Home_Modification.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-10-15	Repair queued
omb83-c. 2528-0335.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2022-07-20	Repair queued
Final- EOAHMO ICR Supporting Statement_PDR.Final_PART_A.docx	Supporting Statement A	Uploaded 2022-01-03	Repair queued
Appendix A. 12 U.S. Code § 1701z6_OAHM_Final.docx	Supplementary Document	Uploaded 2021-12-16	Repair queued
30-Day Notice Evaluation of the Older Adults Home Modification Grant Program.pdf	Supplementary Document	Uploaded 2021-12-16	Repair queued
60-Day Notice Evaluation of the Older Adults Home Modification Grant Program.pdf	Supplementary Document	Uploaded 2021-12-16	Repair queued
Final - EOAHMO ICR Supporting Statement_PDR.Final_PART.B.docx	Supporting Statement B	Uploaded 2021-12-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254748	Grantee Site Visit Interview Guide	Other-Grantee Site Visit Interview Guide	Unchanged
254747	Grantee Process Evaluation Online Survey Year 1	Other-Grantee Process Evaluation Online Survey Year 1	Modified
254746	OAHM Program Documentation of Work Completed Form	Other-OAHM Program Documentation of Work Completed Form	Unchanged
254745	Lost-to-Project Form	Other-Lost-to-Project Form	Unchanged
254744	Client Eligibility Documentation Form	Other-Client Eligibility Documentation Form	Unchanged
250824	Client Process Evaluation Interview	Other-Client Process Evaluation Interview	Unchanged
250823	Script to Schedule Client Process Evaluation Interview	Other-Script to Schedule Client Process Evaluation Interview	Unchanged
250822	OAHM Client Impact Evaluation Interview (Post-modification)	Other-OAHM Client Impact Evaluation Interview (Post-modification	Modified
250821	OAHM Client Impact Evaluation Interview (Baseline)	Other-OAHM Client Impact Evaluation Interview (Baseline)	Modified
250820	Home Hazard Checklist (Post-modification)	Other-Home Hazard Checklist (Post-modification)	Unchanged
250819	Home Hazard Checklist (Baseline)	Other-Home Hazard Checklist (Baseline)	Unchanged
250817	OAHM Program Evaluation Informed Consent	Other-OAHM Program Evaluation Informed Consent	Unchanged
250816	OAHM Client Program Questionnaire (Post-modification)	Other-OAHM Client Program Questionnaire (Post-modification)	Modified
250815	OAHM Client Program Questionnaire (Baseline)	Other-OAHM Client Program Questionnaire (Baseline)	Modified

ICR Details

OMB Control No: 2528-0335	ICR Reference No: 202411-2528-002
Status: Received in OIRA	Previous ICR Reference No: 202409-2528-002
Agency/Subagency: HUD/PD&R	Agency Tracking No:
Title: Evaluation of the Older Adults Home Modification Grant Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/04/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	05/31/2025	05/31/2025
Responses	25,481	25,481
Time Burden (Hours)	6,255	6,255
Cost Burden (Dollars)	0	0

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Abstract: The following text provides information on the U.S. Department of Housing and Urban Development’s (HUD) Office of Policy Development and Research (PD&R) planned evaluation of the implementation and impact of the Older Adults Home Modification Program (OAHMP) grants. These grants are administered by HUD’s Office of Lead Hazard Control and Healthy Homes (OLHCHH). The following information is organized to respond directly to itemized subsections Part A and B of the Supporting Statement for Paperwork Reduction Act Submissions (Supporting Statement). For reviewers only interested in the itemized responses to Part A and Part B, please turn to Section 1.1. The Evaluation of the OAHMP grants will assess the OLHCHH grant program's effectiveness. HUD’s purpose for the OAHMP is to assist experienced nonprofit organizations, state and local governments, and public housing authorities in undertaking comprehensive programs that make safety and functional home modifications, and limited repairs to meet the needs of low-income elderly homeowners. The goal of the home modification program is to enable low-income elderly persons to remain in their homes through low-cost, low barrier, high impact home modifications to reduce older adults’ risk of falling, improve general safety, increase accessibility, and to improve their functional abilities in their home. This will enable older adults to remain in their homes, that is, to “age in place,” rather than move to nursing homes or other assisted care facilities. Under the terms of the OLHCHH OAHMP NOFO, grantees are required to collaborate with PD&R “on that Office’s evaluation of the impact of the OAHMP, and any other HUD research on the program.” OLHCHH developed an OAHM “Program Services Model” for this grant program that “incorporates two core concepts: first, as people age, their needs change, and they may need adaptations to their physical environment to live safely at home; second, for any intervention to have the highest impact, the individual’s personal goals and needs must be a driver in determining the actual intervention.” The Program Services Model components for grantees are summarized as follows: 1. An initial interview and in-home assessment is conducted by a licensed Occupational Therapist (OT), licensed OT Assistant (OTA), or Certified Aging-in-Place Specialist (CAPS), with the latter two working under the supervision of a licensed OT. The OT, OTA, or CAPS will conduct the initial interview with the client and care takers (if available) in their home and assess the home for safety hazards, including the client’s fall risk, and/or the client’s functional abilities with activities of daily living (ADLs) and instruments of daily living (IADLs) 2. A work order is created by the OT or by a licensed OTA or CAPS whose work under the grant is supervised by a licensed OT. With the client’s consent, the OT, OTA, or CAPS will prioritize necessary home modifications and complete a work order and any additional specifications. 3. Home modification work is conducted by a licensed, or in accordance with local and state regulations, contractor qualified to perform the required work. 4. An in-home follow-up assessment and inspection is conducted by the licensed OT, who will also train the client in the safe and proper use of adaptive equipment and home modifications. During this visit, the OT will also inspect the home modification work to ensure it meets the work order requirements and complete a new work order for any needed adjustments.

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Authorizing Statute(s): US Code: 12 USC 1701z-1 Name of Law: Research and Demonstrations
   US Code: 12 USC 1701z-6 Name of Law: Special housing need research and demonstration authority
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51178	09/14/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 71518	12/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
Client Eligibility Documentation Form
Client Process Evaluation Interview
Grantee Process Evaluation Online Survey Year 1
Grantee Site Visit Interview Guide
Home Hazard Checklist (Baseline)
Home Hazard Checklist (Post-modification)
Lost-to-Project Form
OAHM Client Impact Evaluation Interview (Baseline)
OAHM Client Impact Evaluation Interview (Post-modification)
OAHM Client Program Questionnaire (Baseline)
OAHM Client Program Questionnaire (Post-modification)
OAHM Program Documentation of Work Completed Form
OAHM Program Evaluation Informed Consent
Script to Schedule Client Process Evaluation Interview

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	25,481	25,481	0	0	0	0
Annual Time Burden (Hours)	6,255	6,255	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $243,325

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/04/2024

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