Supportive Housing & Individual Placement and Support (SHIPS) Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PC_202502-0960-014_071725_080225_1.pdf	Public Comments	Uploaded 2025-07-17	Repair queued
Addendum to Supporting Statment 0960-0840.docx	Supplementary Document	Uploaded 2025-07-02	Repair queued
Addendum to Supporting Statment 0960-0840.docx	Supplementary Document	Uploaded 2025-07-02	Repair queued
Supporting Statement B - 0960-0840.docx	Supporting Statement B	Uploaded 2025-07-02	Repair queued
Supporting Statement B - 0960-0840.docx	Supporting Statement B	Uploaded 2025-07-02	Missing upstream
Supporting Statement A - 0960-0840.docx	Supporting Statement A	Uploaded 2025-07-02	Repair queued
Supporting Statement A - 0960-0840.docx	Supporting Statement A	Uploaded 2025-07-02	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
268418	SHIPS Interviews: participants	Other- ICAP SHIPS: IPS Participation Measure	Unchanged
268417	PATH Interviews: Staff	Other- ICAP SHIPS: QAIPS Meeting Notes	Unchanged
268416	Study participants final interviews	Other-ICAP SHIPS Final Interview Financial Distress/Well-Being S	Unchanged
268415	Study participants quarterly interviews	Other-ICAP SHIPS Quarterly WorkHousing Interview	Modified
268414	Study participants baseline interview	Other-ICAP SHIPS Baseline Interview Demographics	Modified

ICR Details

OMB Control No: 0960-0840	ICR Reference No: 202502-0960-014
Status: Active	Previous ICR Reference No: 202404-0960-015
Agency/Subagency: SSA	Agency Tracking No:
Title: Supportive Housing & Individual Placement and Support (SHIPS) Study
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/13/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/02/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2028	36 Months From Approved	09/30/2027
Responses	1,810	0	1,810
Time Burden (Hours)	44,270	0	44,270
Cost Burden (Dollars)	0	0	0

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Abstract: The SHIPS study is a randomized controlled trial (RCT) designed to determine whether participation in Individual Placement and Support (IPS) improves the employment, income, health, and self-sufficiency of people who are recently homeless and living in supportive housing. The SHIPS study will mark the first study testing the effectiveness of implementing IPS in a supportive housing program. SSA hypothesizes that combining the two most successful evidence-based practices that separately address homelessness and supported employment will yield a single intervention that effectively addresses both. The intent of the SHIPS study is to measure the effectiveness of evidence-based IPS compared to the services provided by local WorkSource Centers broadly available to jobseekers in the Los Angeles area, The housing case managers will refer PATH clients interested in finding employment and will randomly assign participants to one of two groups: 1. IPS: The Individual Placement and Support (IPS) service team will offer a range of structured services customized to participants’ personal needs, preferences, and challenges related to disabilities and/or mental health conditions. IPS was specifically designed as a supported employment model for individuals with serious mental illness and includes standardized training and fidelity requirements. Components of IPS that differ from those offered by WorkSource Services include integrated treatment that incorporates vocational and mental health services; benefits planning; and focus on rapid job search without extensive training. 2. WorkSource Centers: Under PATH’s current housing model, housing case managers refer PATH clients who express interest in finding employment to local American Job Centers, known as WorkSource Centers in Los Angeles. The WorkSource Centers are operated by the City of Los Angeles Economic and Workforce Development Department, and follow an employment services model that varies by WorkSource Center, is not evidence-based or subject to fidelity monitoring and is not necessarily responsive to the individual needs of jobseekers with disabilities.

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Authorizing Statute(s): None

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:
	89 FR 105170	12/26/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 291000	07/02/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
PATH Interviews: Staff
SHIPS Interviews: participants
Study participants baseline interview
Study participants final interviews
Study participants quarterly interviews

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	1,810	1,810	0	0	0	0
Annual Time Burden (Hours)	44,270	44,270	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: $599,983

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     Yes

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.     Yes

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: 07/02/2025

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