HUD Supportive Services Demonstration/Integrated Wellness in Supportive Housing (IWISH)

OMB 2528-0315

HUD assists a large vulnerable senior population in its Section 202 and other elderly-designated properties. By virtue of their advanced ages, low-incomes and other demographic characteristics, residents in these communities have complex social, health and functional situations. The quality affordable housing provided by HUD provides a fundamental base for these individuals to age safely in their community. With housing as a key social determinant of health, HUD wishes to leverage its properties as a platform for the coordination and delivery of services to better address the interdependent health and supportive service needs of its older residents.

The latest form for HUD Supportive Services Demonstration/Integrated Wellness in Supportive Housing (IWISH) expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
2-15-18 IWISH_ReleaseInformation.docx Supplementary Document
2-15-18 IWISH_InformedConsent.docx Supplementary Document
SORN Final Scanned SSD_IWISH.pdf Supplementary Document
IWISH_InformedConsent_06Feb2018_HUD_CLEAN.docx Supplementary Document
10-27-17 HUD SSD Informed Consent.docx Supplementary Document
IPA-Final.pdf Supplementary Document
2-15-18 final SSD Supporting Statement B.docx Supporting Statement B
2-15-18 final SSD Supporting Statement A.docx Supporting Statement A
Supportive Services Demonstration-I WISH 30 Day Notice.pdf Supplementary Document
60-Day Notice Supportive Services Resident Assessment Form.pdf Supplementary Document
HUD Residents Living Alone (4-person household) Other-SSD/IWISH Assessment
HUD Residents Living Alone (3-person household) Other-SSD/IWISH Assessment
HUD Residents Living Alone (2-person household) Other-SSD/IWISH Assessment
HUD Resident Living Alone (Single Household) Other-SSD/IWISH Assessment

All Historical Document Collections

201702-2528-001

Approved with change

New collection (Request for a new OMB Control Number)

2017-10-31

OMB Details

HUD Resident Living Alone (Single Household)

Federal Enterprise Architecture: Community and Social Services - Community and Regional Development