Information Collection Request

The Community Choice Demonstration

ICR 202502-2528-005 · OMB 2528-0337 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
EOrev.Redline.Attachment M.2_The Obesity Type II Diabetes Risk Assessment_Survey_Follow-up.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Supporting Statement A.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
Final EOrev.Attachment M.1_The Obesity Type II Diabetes Risk Assessment_Survey_Baseline.docx Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Redline.Attachment L_The Child and MOVED Assessments_Consent.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Redline.Attachment I.2_The Child Assessment_Direct Child Assessment_Follow-up.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Redline.Attachment I.1_The Child Assessment_Direct Child Assessment_Baseline.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Redline.Attachment G_The Child Assessment & The Obesity and Type II Diabetes Risk Assessment_Assent.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
EOrev.Form Revision Chart Template.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-20 Repair queued
EOrev.Redline.Attachment G Mobility Services Tracking Tool.pdf Supplementary Document Uploaded 2025-05-20 Repair queued
30-Day Notice The Community Choice Demonstration.pdf Supplementary Document Uploaded 2023-10-19 Repair queued
Evaluation of the Community Choice Demonstration 60-Day Notice.pdf Supplementary Document Uploaded 2023-10-19 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2023-12-14 Repair queued
Final EOrev.Supporting Statement A.docx Supporting Statement A Uploaded 2025-04-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
266091 PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment P Phase 2 Other Adult Household Membe Unchanged
266090 PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment O Phase 2 Head of Household Waitlist Unchanged
266089 PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment N Phase 2 HoH Existing Voucher Holder Unchanged
266088 PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment B Head of Household Existing Voucher Unchanged
266087 PHA STAFF INTERVIEW GUIDE Other-Revised - Instrument 3 PHA Staff Interview Guide Unchanged
266086 PARENT/GUARDIAN PERMISSION FORM Other-Revised - Attachment E Parent Guardian Permission Form Unchanged
266085 OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment D Other Adult Household Member Inform Unchanged
266084 Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment G Mobility Services Tracking Tool Modified
266083 Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment K Mobility Services Provider Intervie Unchanged
266082 MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE Other-Revised - Instrument 4 Mobility Services Provider Intervie Unchanged
266081 Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment L Landlord Interview Advance Letter Unchanged
266080 INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP Other-Revised - Instrument 6 Interview Guide for Leased Up Famil Unchanged
266079 INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING Other-Revised - Instrument 5 Interview Guide for Searching Famil Unchanged
266078 INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS Other-Revised - Instrument 7 Interview Guide for Participating L Unchanged
266060 Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment J Family Interview Email Reminder Unchanged
266059 Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment I Family Interview Advance Letter Unchanged
266058 HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM Other-Revised - Instrument 1 Household Roster and Baseline Infor Unchanged
266057 HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment C Head of Household Waitlist Family I Unchanged
266056 HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM Other-Revised - Attachment H Head of Household Family Interview Unchanged
266055 COST STUDY DATA COLLECTION OUTREACH Other-Revised - Attachment M Cost Interview Advance Letter Unchanged
266054 COST DATA COLLECTION INTERVIEW GUIDE Other-Revised - Instrument 8 Interview Guide for Cost Data Colle Unchanged
266053 BASELINE SURVEY Other-Revised - Instrument 2 HCV Mobility Evaluation Baseline Su Unchanged
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) Unchanged
262910 Anthropometric assessments (adult) Other-Anthropometric assessments (adult) Unchanged
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 Unchanged
262904 Email Reminder Other-Email Reminder Unchanged
262902 Advance Letter Other-Advance Letter Unchanged
262901 Direct Child Assessment Other-Direct Child Assessment Modified
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 Modified
262898 Survey Other-Survey Unchanged
262897 Interviewer Observations Other-Interviewer Observations Unchanged
262892 Direct Measurements Other-Direct Measurements Unchanged
262891 Consent for Assessment Other-Consent for Assessment Unchanged
262890 Follow-up Call Phone Script Other-Follow-up Call Phone Script Unchanged
262889 Email Reminder Other-Email Reminder Unchanged
262887 Advance Letter Other-Advance Letter Unchanged
ICR Details
2528-0337 202502-2528-005
Received in OIRA 202410-2528-002
HUD/PD&R
The Community Choice Demonstration
No material or nonsubstantive change to a currently approved collection   No
Regular 05/20/2025
  Requested Previously Approved
12/31/2026 12/31/2026
144,767 144,767
313,582 313,582
0 0

The Office of Policy Development and Research (PD&R), at the U.S. Department of Housing and Urban Development (HUD), is seeking approval to collect additional information of individuals participating in the Community Choice Demonstration (formerly known as the Housing Choice Voucher Mobility Demonstration) (“Demonstration” for short). The instruments required for the implementation and early phase of the evaluation of the Demonstration were originally approved by the OMB in May and June 2022. Approval was granted under OMB Control #2528-0337 and expires June 30, 2025.

US Code: 12 USC 1701z-1 Name of Law: Research and Demonstrations
  
None

Not associated with rulemaking

  88 FR 40841 06/22/2023
88 FR 71594 10/17/2023
No

49
IC Title Form No. Form Name
Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
Accelerometers (adult)
Accelerometers (child)
Adult Survey
Advance Letter
Advance Letter
Anthropometric assessments (adult)
Anthropometric assessments (child)
Anthropometric assessments (child, but accounting for parent's time)
BASELINE SURVEY
Blood Pressure Reading (adult)
Blood Spot Samples (adult)
COST DATA COLLECTION INTERVIEW GUIDE
COST STUDY DATA COLLECTION OUTREACH
Consent for Assessment
Consent for Assessment
Consent for Assessment
Consent for Semi-Structured Interviews
Direct Child Assessment
Direct Measurements
Email Reminder
Email Reminder
Follow-up Call Phone Script
Follow-up Call Phone Script
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration
Home Observations/ Housing Assessment
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP
Interviewer Observations
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION
PARENT/GUARDIAN PERMISSION FORM
PHA STAFF INTERVIEW GUIDE
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION
PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION
Semi-Structured Interviews
Survey
Survey about child (asked of parent/guardian) and parent/guardian's presence during direct Child Assessment
Tracking Calls
Tracking Emails/Texts

  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 144,767 144,767 0 0 0 0
Annual Time Burden (Hours) 313,582 313,582 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,113,333
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Marina Myhre 202 420-5705

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/20/2025