Information Collection Request

Evaluation of the Family Unification Program

ICR 202004-0970-003 · OMB 0970-0514 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
NonSub Change Request - 0970-0514 (04-03-2020).docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-03 Repair queued
Attachment 8 - FUP logic Model 062018.docx Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 7 - FUP Evaluation Information Sheet _062718_rev.docx Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 6 -Outreach Phone Call Script for Parents_062718_clean.docx Supplementary Document Uploaded 2018-07-06 Available
Attachment 5 - Outreach Email_Template_Clean.docx Supplementary Document Uploaded 2020-04-03 Repair queued
Attachment 4-Informed Consent for Staff 6-27-18.docx Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 3-Informed Consent for Parents 06-27-2018.docx Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 2 - 60 day notice.pdf Supplementary Document Uploaded 2018-07-06 Repair queued
Attachment 1-Informed Consent Form_06-27-18.docx Supplementary Document Uploaded 2018-07-06 Repair queued
FUP Part B Support Statement_062718_clean.docx Supporting Statement B Uploaded 2018-07-06 Available
FUP Part A Support Statement_082718 Clean.docx Supporting Statement A Uploaded 2018-09-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
232070 Appendix U: Administrative Data List Other-Admin Data List Unchanged
232069 Appendix T: Dashboard Other-Dashboard Unchanged
232060 Appendix S: Ongoing Services Questionnaire Other-Questionnaire Unchanged
232059 Appendix R: Housing Assistance Questionnaire Other-Questionnaire Unchanged
232058 Appendix Q: Randomization Tool Other-Randomization Tool Unchanged
232057 Appendix P: Referral Form Other-Referral Form Modified
232056 Appendix O: Housing Status Form Other-Housing Status Form Modified
232055 Appendix N: Guide for Implementation Study for Service Provider Management Other-Implementation Study Guide Unchanged
232054 Appendix M: Guide for Implementation Study for PCWA FUP Management (Third) Other-Implementation Study Guide Unchanged
232053 Appendix L: Guide for Implementation Study Focus Groups with Frontline Workers Other-Focus Group Guide Unchanged
232052 Appendix K: Guide for Implementation Study for Parents (Second, Third) Other-Implementation Study Guide Unchanged
232051 Appendix J: Guide for Implementation Study Focus Groups with PHA Frontline Workers Other-Focus Group Guide Unchanged
232050 Appendix I: Guide for Implementation Study for PHA FUP Management Other-Implementation Study Guide Unchanged
232049 Appendix H: Guide for Implementation Study with PCWA FUP Management (Second) Other-Implementation Study Guide Unchanged
232048 Appendix G: Guide for Implementation Study for Referral Provider Administrators Other-Implementation Study Guide Unchanged
232047 Appendix F: Guide for Implementation Study for CoC Management Other-Implementation Study Guide Unchanged
232046 Appendix E: Guide for Implementation Study for PHA Management Other-Implementation Study Guide Unchanged
232045 Appendix D: Guide for Implementation Study for PCWA Management Other-Implementation Study Guide Unchanged
232044 Appendix C: Guide to Develop an Evaluation Plan for PHA FUP Management Other-Eval Plan Guide Unchanged
232043 Appendix B: Guide to Develop an Evaluation Plan for PCWA FUP Management Other-Eval Plan Guide Unchanged
232042 Appendix A: Guide for Recruitment with PHA and PCWA Administrators Other-Recruitment Guide Unchanged
ICR Details
0970-0514 202004-0970-003
Historical Active 201807-0970-006
HHS/ACF OPRE
Evaluation of the Family Unification Program
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/06/2020
Retrieve Notice of Action (NOA) 04/06/2020
  Inventory as of this Action Requested Previously Approved
09/30/2021 09/30/2021 09/30/2021
8,073 0 8,073
849 0 849
0 0 0

The Evaluation of the Family Unification Program study was approved on September 18, 2018. Since approval, we recruited four sites to participate in the study, which is less than our goal of 6-10 sites. We now have the opportunity to recruit additional sites. With our four current sites, we have completed the recruitment interviews with staff, the first site visit (to set up the evaluation) and have collected housing status forms, referral forms and dashboards from each of the sites. Through these activities, we received feedback that the sites wanted the referral form to be simplified and shortened. This nonsubstantive change request is to make some updates to the Referral Form (Appendix P) and the Housing Status Form (Appendix O) based on feedback. Additionally, many of the sites are currently dealing with issues that have to do with the COVID-19 pandemic. As a result, an outreach letter has been updated to acknowledge that they may be dealing with additional challenges related to the COVID-19 pandemic.

US Code: 42 USC 626 Name of Law: Title IV-E of the Social Security Act
  
None

Not associated with rulemaking

  83 FR 381 01/03/2018
83 FR 32128 07/11/2018
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,073 8,073 0 0 0 0
Annual Time Burden (Hours) 849 849 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new information collection request.

$450,346
No
    Yes
    No
No
No
No
Yes
Molly Buck 202 205-4724 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/06/2020