Evaluation of the Older Adults Home Modification Grant Program

OMB 2528-0335

Latest Forms, Documents, and Supporting Material

Document Name
omb83-c. 2528-0335.pdf Justification for No Material/Nonsubstantive Change
Final- EOAHMO ICR Supporting Statement_PDR.Final_PART_A.docx Supporting Statement A
Appendix A. 12 U.S. Code § 1701z6_OAHM_Final.docx Supplementary Document
30-Day Notice Evaluation of the Older Adults Home Modification Grant Program.pdf Supplementary Document
60-Day Notice Evaluation of the Older Adults Home Modification Grant Program.pdf Supplementary Document
Final - EOAHMO ICR Supporting Statement_PDR.Final_PART.B.docx Supporting Statement B
Grantee Site Visit Interview Guide Other-Grantee Site Visit Interview Guide
Grantee Process Evaluation Online Survey Year 1 Other-Grantee Process Evaluation Online Survey Year 1
OAHM Program Documentation of Work Completed Form Other-OAHM Program Documentation of Work Completed Form
Lost-to-Project Form Other-Lost-to-Project Form
Client Eligibility Documentation Form Other-Client Eligibility Documentation Form
Client Process Evaluation Interview Other-Client Process Evaluation Interview
Script to Schedule Client Process Evaluation Interview Other-Script to Schedule Client Process Evaluation Interview
OAHM Client Impact Evaluation Interview (Post-modification) Other-OAHM Client Impact Evaluation Interview (Post-modification
OAHM Client Impact Evaluation Interview (Baseline) Other-OAHM Client Impact Evaluation Interview (Baseline)
Home Hazard Checklist (Post-modification) Other-Home Hazard Checklist (Post-modification)
Home Hazard Checklist (Baseline) Other-Home Hazard Checklist (Baseline)
OAHM Program Evaluation Informed Consent Other-OAHM Program Evaluation Informed Consent
OAHM Client Program Questionnaire (Post-modification) Other-OAHM Client Program Questionnaire (Post-modification)
OAHM Client Program Questionnaire (Baseline) Other-OAHM Client Program Questionnaire (Baseline)