OMB control number

Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection

OMB 0970-0628 · HHS/ACF.

OMB 0970-0628

The Affordable Housing and Supportive Services Demonstration (AHSSD) Data Collection (OMB #0970-0628) was originally approved in March 2024 and then revised in September 2024. The information collection includes individual-level survey instruments and on-site focus groups to collect information from program participants, onsite and virtual interviews to collect information from program staff, and report forms to capture service delivery and outcomes. The Office of Community Services (OCS) Affordable Housing and Supportive Services Demonstration (AHSSD) data collection was approved on March 1, 2024. The approved Quarterly Narrative PPR Guidance requires recipients to provide narrative updates on project activities, accomplishments, challenges, and implementation efforts with question prompts specific to the use of AHSSD funding for the project. The approved guidance document requires grant recipients to provide the AHSSD PPR information using the ACF Standard PPR form (OMB Control #0970-0406). A revision request for the ACF Standard PPR is currently submitted to OMB for review and approval. To minimize changes in reporting format and information collected from AHSSD grant recipients, OCS would like to align the AHSSD-specific PPR form with the currently approved Quarterly Narrative PPR Guidance by incorporating the guidance into the PPR document. This not only minimizes changes but also streamlines reporting by integrating AHSSD-specific prompts with the prompts from the original standard form.

The latest form for Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection expires 2027-10-31 and is listed under ICR 202602-0970-016.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 4 AHSSD PPR FormForm
NonSub Change Request - AHSSD 0970-0628.docxJustification for No Material/Nonsubstantive Change
NonSub Change - Update to ACF ICs - Protecting Women EO - Submission 2.10.25.docxJustification for No Material/Nonsubstantive Change
NonSub Change Request - AHSSD.docxJustification for No Material/Nonsubstantive Change
Attachment E - Study Information Sheet for Individuals Completing Matrix.docxSupplementary Document
Attachment D - Self Sufficiency Matrix Instructions & Consent.docxSupplementary Document
Attachment C - Interview Consent Form CLEAN.docxSupplementary Document
Attachment B - Invitation to Interview CLEAN.docxSupplementary Document
Attachment A - Research Questions.docxSupplementary Document
Supporting Statement B - AHSSD Revision (CLEAN).docxSupporting Statement B
Supporting Statement A - AHSSD Revision (CLEAN).docxSupporting Statement A
2024 Version – Semi-Annual Quantitative Report OPTIONAL Other-Semi Annual Report
2024 Version – Semi-Annual Quantitative Report MANDATORY Other-Semi Annual Report
Interviews with Caseworkers Other-Interview
Interviews with Program Directors Other-Interview
2023 Version – Semi-Annual Quantitative Report OPTIONAL Other-Semi Annual Report
2023 Version – Semi-Annual Quantitative Report MANDATORY Other-Semi Annual Report
Quarterly PPR Collections Form
Quarterly PPR Collections Instruction
Resident Interview Other-Interview
Service Receipt Questionnaire Other-Questionnaire
Self-Sufficiency Matrix Other-Questionnaire

OMB Details

Self-Sufficiency Matrix

Federal Enterprise Architecture: Community and Social Services - Social Services