Information Collection Request
Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection
ICR 202403-0970-005 · OMB 0970-0628 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0628 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 NonSub Change Request - 0970-0628.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-05 | Available |
| NonSub Change Request - 0970-0628.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-05 | Missing upstream |
| Attachment E - Study Information Sheet for Individuals Completing Matrix.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment E - Study Information Sheet for Individuals Completing Matrix.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment D - Self Sufficiency Matrix Instructions & Consent.docx |
Supplementary Document | Uploaded 2024-02-21 | Available |
| Attachment D - Self Sufficiency Matrix Instructions & Consent.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment C - Focus Group Consent Form.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment C - Focus Group Consent Form.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment B - Invitation to Focus Group.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment B - Invitation to Focus Group.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Attachment A - Research Questions.docx |
Supplementary Document | Uploaded 2024-02-21 | Available |
| Attachment A - Research Questions.docx |
Supplementary Document | Uploaded 2024-02-21 | Repair queued |
| Supporting Statement B - OCS AHSSD Emergency Approval 1.2.24.docx |
Supporting Statement B | Uploaded 2024-01-30 | Repair queued |
| Supporting Statement B - OCS AHSSD Emergency Approval 1.2.24.docx |
Supporting Statement B | Uploaded 2024-01-30 | Missing upstream |
| Supporting Statement A - OCS AHSSD Emergency Approval_fnl.docx |
Supporting Statement A | Uploaded 2024-01-30 | Repair queued |
| Supporting Statement A - OCS AHSSD Emergency Approval_fnl.docx |
Supporting Statement A | Uploaded 2024-01-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 264807 |  Interviews with Caseworkers |
Other-Interview | Unchanged | |
| 264806 | Interviews with Program Directors |
Other-Interview | Unchanged | |
| 264805 | Semi Annual Report OPTIONAL |
Other-Semi Annual Report | Unchanged | |
| 264804 | Semi Annual Report MANDATORY |
Other-Semi Annual Report | Unchanged | |
| 264803 | Quarterly PPR Collections |
Other-Quarterly PPR | Unchanged | |
| 264802 | Resident Focus Group |
Other-Focus Group | Unchanged | |
| 264801 | Service Receipt Questionnaire |
Other-Questionnaire | Modified | |
| 264800 | Self-Sufficiency Matrix |
Other-Questionnaire | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0628 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202401-0970-016 |
| Date Submitted to OIRA | 2024-03-05 |
| Requested Expiration Date | 2024-02-23 |