OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

The Community Choice Demonstration

OMB 2528-0337 · HUD/PD&R.

OMB 2528-0337

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.

The latest form for The Community Choice Demonstration expires 2026-12-31 and is listed under ICR 202502-2528-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
EOrev.Redline.Attachment M.2_The Obesity Type II Diabetes Risk Assessment_Survey_Follow-up.pdfSupplementary Document
EOrev.Redline.Attachment M.2_The Obesity Type II Diabetes Risk Assessment_Survey_Follow-up.pdf Supplementary Document
EOrev.Supporting Statement A.pdfSupplementary Document
EOrev.Supporting Statement A.pdf Supplementary Document
Final EOrev.Attachment M.1_The Obesity Type II Diabetes Risk Assessment_Survey_Baseline.docxSupplementary Document
EOrev.Redline.Attachment L_The Child and MOVED Assessments_Consent.pdfSupplementary Document
EOrev.Redline.Attachment I.2_The Child Assessment_Direct Child Assessment_Follow-up.pdfSupplementary Document
EOrev.Redline.Attachment I.2_The Child Assessment_Direct Child Assessment_Follow-up.pdf Supplementary Document
EOrev.Redline.Attachment I.1_The Child Assessment_Direct Child Assessment_Baseline.pdfSupplementary Document
EOrev.Redline.Attachment I.1_The Child Assessment_Direct Child Assessment_Baseline.pdf Supplementary Document
EOrev.Redline.Attachment G_The Child Assessment & The Obesity and Type II Diabetes Risk Assessment_Assent.pdfSupplementary Document
EOrev.Redline.Attachment G_The Child Assessment & The Obesity and Type II Diabetes Risk Assessment_Assent.pdf Supplementary Document
EOrev.Form Revision Chart Template.docxJustification for No Material/Nonsubstantive Change
EOrev.Redline.Attachment G Mobility Services Tracking Tool.pdfSupplementary Document
EOrev.Redline.Attachment G Mobility Services Tracking Tool.pdf Supplementary Document
30-Day Notice The Community Choice Demonstration.pdfSupplementary Document
30-Day Notice The Community Choice Demonstration.pdf Supplementary Document
Evaluation of the Community Choice Demonstration 60-Day Notice.pdfSupplementary Document
Evaluation of the Community Choice Demonstration 60-Day Notice.pdf Supplementary Document
Supporting Statement B.docxSupporting Statement B
Supporting Statement B.docxSupporting Statement B
Final EOrev.Supporting Statement A.docxSupporting Statement A
Final EOrev.Supporting Statement A.docxSupporting Statement A
PHASE 2- OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment P Phase 2 Other Adult Household Membe
PHASE 2- HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment O Phase 2 Head of Household Waitlist
PHASE 2- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment N Phase 2 HoH Existing Voucher Holder
PHASE 1- HEAD OF HOUSEHOLD EXISTING VOUCHER FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment B Head of Household Existing Voucher
PHA STAFF INTERVIEW GUIDE Other-Revised - Instrument 3 PHA Staff Interview Guide
PARENT/GUARDIAN PERMISSION FORM Other-Revised - Attachment E Parent Guardian Permission Form
OTHER ADULT HOUSEHOLD MEMBER INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment D Other Adult Household Member Inform
Mobility Services Tracking Tool Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment G Mobility Services Tracking Tool
Mobility Services Provider Interview Outreach Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment K Mobility Services Provider Intervie
MOBILITY SERVICES PROVIDERS INTERVIEW GUIDE Other-Revised - Instrument 4 Mobility Services Provider Intervie
Landlord Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment L Landlord Interview Advance Letter
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES WHO HAVE LEASED UP Other-Revised - Instrument 6 Interview Guide for Leased Up Famil
INTERVIEW GUIDE FOR PARTICIPATING FAMILIES CURRENTLY SEARCHING FOR HOUSING Other-Revised - Instrument 5 Interview Guide for Searching Famil
INTERVIEW GUIDE FOR OPPORTUNITY AREA LANDLORDS Other-Revised - Instrument 7 Interview Guide for Participating L
Head of Household Family Interview Email Reminder Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment J Family Interview Email Reminder
Head of Household Family Interview Advance Letter Evaluation of the Housing Choice Voucher Mobility Demonstration Other-Revised - Attachment I Family Interview Advance Letter
HOUSEHOLD ROSTER AND BASELINE INFORMATION FORM Other-Revised - Instrument 1 Household Roster and Baseline Infor
HEAD OF HOUSEHOLD WAITLIST FAMILY INFORMED CONSENT FOR STUDY PARTICIPATION Other-Revised - Attachment C Head of Household Waitlist Family I
HEAD OF HOUSEHOLD FAMILY INTERVIEW CONSENT FORM Other-Revised - Attachment H Head of Household Family Interview
COST STUDY DATA COLLECTION OUTREACH Other-Revised - Attachment M Cost Interview Advance Letter
COST DATA COLLECTION INTERVIEW GUIDE Other-Revised - Instrument 8 Interview Guide for Cost Data Colle
BASELINE SURVEY Other-Revised - Instrument 2 HCV Mobility Evaluation Baseline Su
Tracking Calls Other-Tracking Calls
Tracking Emails/Texts Other-Tracking Emails/Texts
Semi-Structured Interviews Other-Semi-Structured Interviews
Consent for Semi-Structured Interviews Other-Consent for Semi-Structured Interviews
Blood Pressure Reading (adult) Other-Blood Pressure Reading (adult)
Accelerometers (child) Other-Accelerometers (child)
Accelerometers (adult) Other-Accelerometers (adult)
Home Observations/ Housing Assessment Other-Home Observations/ Housing Assessment
Blood Spot Samples (adult) Other-Blood Spot Samples (adult)
Anthropometric assessments (child, but accounting for parent's time) Other-Anthropometric assessments (child, but accounting for pare
Anthropometric assessments (child) Other-Anthropometric assessments (child)
Anthropometric assessments (adult) Other-Anthropometric assessments (adult)
Adult Survey Other-Adult Survey
Consent for Assessment Other-Consent for Assessment
Follow-up Call Phone Script Other-Follow-up Call Phone Script
Email Reminder Other-Email Reminder
Advance Letter Other-Advance Letter
Direct Child Assessment Other-Direct Child Assessment
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
Consent for Assessment Other-Consent for Assessment
Survey Other-Survey
Interviewer Observations Other-Interviewer Observations
Direct Measurements Other-Direct Measurements
Consent for Assessment Other-Consent for Assessment
Follow-up Call Phone Script Other-Follow-up Call Phone Script
Email Reminder Other-Email Reminder
Advance Letter Other-Advance Letter

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202502-2528-005 No material or nonsubstantive change to a currently approved collection 2025-05-20
202410-2528-002 No material or nonsubstantive change to a currently approved collection 2024-10-15
202403-2528-004 No material or nonsubstantive change to a currently approved collection 2024-03-21 Approved without change
202310-2528-003 Revision of a currently approved collection 2023-10-25 Approved with change
202209-2528-003 No material or nonsubstantive change to a currently approved collection 2022-09-07 Approved without change
202101-2528-005 New collection (Request for a new OMB Control Number) 2021-10-22 Approved without change

OMB Details

Advance Letter

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