The Community Choice Demonstration

OMB 2528-0337

Latest Forms, Documents, and Supporting Material

Document Name
83c_Community Choice Demonstration_2528-0337_02202024.docx Justification for No Material/Nonsubstantive Change
83c_Community Choice Demonstration_2528-0337_02202024.docx Justification for No Material/Nonsubstantive Change
Revised - Attachment P Phase 2 Other Adult Household Member Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment P Phase 2 Other Adult Household Member Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment O Phase 2 Head of Household Waitlist Families Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment O Phase 2 Head of Household Waitlist Families Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment N Phase 2 HoH Existing Voucher Holders Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment N Phase 2 HoH Existing Voucher Holders Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment B Head of Household Existing Voucher Holders Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment B Head of Household Existing Voucher Holders Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment D Other Adult Household Member Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment D Other Adult Household Member Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment C Head of Household Waitlist Family Informed Consent - TRACKED CHANGES.docx Supplementary Document
Revised - Attachment C Head of Household Waitlist Family Informed Consent - TRACKED CHANGES.docx Supplementary Document
Attachment O_The Obesity & Type II Diabetes Risk Assessment_Anthropometric Assessments_Child - TRACKED CHANGES.docx Supplementary Document
Attachment O_The Obesity & Type II Diabetes Risk Assessment_Anthropometric Assessments_Child - TRACKED CHANGES.docx Supplementary Document
Attachment N_The Obesity & Type II Diabetes Risk Assessment_Anthropometric Assessments_Adult - TRACKED CHANGES.docx Supplementary Document
Attachment N_The Obesity & Type II Diabetes Risk Assessment_Anthropometric Assessments_Adult - TRACKED CHANGES.docx Supplementary Document
Attachment M.2_The Obesity & Type II Diabetes Risk Assessment_Survey_Follow-up - TRACKED CHANGES.docx Supplementary Document
Attachment M.2_The Obesity & Type II Diabetes Risk Assessment_Survey_Follow-up - TRACKED CHANGES.docx Supplementary Document
Attachment M.1_The Obesity & Type II Diabetes Risk Assessment_Survey_Baseline - TRACKED CHANGES.docx Supplementary Document
Attachment M.1_The Obesity & Type II Diabetes Risk Assessment_Survey_Baseline - TRACKED CHANGES.docx Supplementary Document
Attachment L_The Child and MOVED Assessments_Consent - TRACKED CHANGES.docx Supplementary Document
Attachment L_The Child and MOVED Assessments_Consent - TRACKED CHANGES.docx Supplementary Document
Attachment K.2_The Child Assessment-Obesity & Type II Diabetes Risk Assessment_Phone Call Script - TRACKED CHANGES.docx Supplementary Document
Attachment K.2_The Child Assessment-Obesity & Type II Diabetes Risk Assessment_Phone Call Script - TRACKED CHANGES.docx Supplementary Document
Attachment D_The Home Assessment_Direct Measurements - TRACKED CHANGES.docx Supplementary Document
Attachment D_The Home Assessment_Direct Measurements - TRACKED CHANGES.docx Supplementary Document
Attachment C_The Home Assessment_Consent - TRACKED CHANGES.docx Supplementary Document
Attachment C_The Home Assessment_Consent - TRACKED CHANGES.docx Supplementary Document
Attachment B.2_The Home Assessment_Follow-up Phone Call Script - TRACKED CHANGES.docx Supplementary Document
Attachment B.2_The Home Assessment_Follow-up Phone Call Script - TRACKED CHANGES.docx Supplementary Document
Attachment J.1_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment _Flyer.pdf Supplementary Document
Attachment J.1_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment _Flyer.pdf Supplementary Document
Attachment A.1_The Home Assessment_Flyer.pdf Supplementary Document
Attachment A.1_The Home Assessment_Flyer.pdf Supplementary Document
Attachment J.1_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment _Flyer.pdf Supplementary Document
Attachment J.1_The Child Assessment and The Obesity & Type II Diabetes Risk Assessment _Flyer.pdf Supplementary Document
30-Day Notice The Community Choice Demonstration.pdf Supplementary Document
30-Day Notice The Community Choice Demonstration.pdf Supplementary Document
Attachment A.1_The Home Assessment_Flyer.pdf Supplementary Document
Attachment A.1_The Home Assessment_Flyer.pdf Supplementary Document
Evaluation of the Community Choice Demonstration 60-Day Notice.pdf Supplementary Document
Evaluation of the Community Choice Demonstration 60-Day Notice.pdf Supplementary Document
Supporting Statement B.docx Supporting Statement B
Supporting Statement B.docx Supporting Statement B
Supporting Statement A.docx Supporting Statement A
Supporting Statement A.docx Supporting 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

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