OMB control number

Evaluation of the Older Adults Home Modification Grant Program

OMB 2528-0335 · HUD/PD&R.

OMB 2528-0335

Latest Forms, Documents, and Supporting Material

Document Name
REV.Client Program Questionnaire_EOAHMP-C2 (Baseline and Post).docx Supplementary Document
REV.Client Impact Evaluation Interview_EOAHMP-C2 (Baseline and Post).docx Supplementary Document
REV.Annual Grantee Process Evaluation Survey_EOAHMP-C2.docx Supplementary Document
83c_Older_Adult_Home_Modification-new(NB).docx Supplementary Document
Appendix I. Grantee Process Evaluation Survey_EOAHMP-C2.DRAFT(clean).docx Supplementary Document
Appendix H. Completed Work Documentation_EOAHMP-C2.DRAFT(clean).docx Supplementary Document
Appendix G. Lost-to-Project_EOAHMP-C2.DRAFT(clean).docx Supplementary Document
Appendix F. Client Impact Evaluation Interview_EOAHMP-C2.DRAFT (clean).docx Supplementary Document
Appendix E. Informed Consent_EOAHMP-C2.DRAFT(clean).docx Supplementary Document
Appendix D. Home Hazard Checklist_EOAHMP-C2.DRAFT(clean).docx Supplementary Document
Appendix C. Client Program Questionnaire_EOAHMP-C2.DRAFT (clean).docx Supplementary Document
Appendix B. Client Eligibility _EOAHMP-C2.DRAFT (clean).docx Supplementary Document
83c_Older_Adult_Home_Modification.docx Justification for No Material/Nonsubstantive Change
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)

All Historical Document Collections

202411-2528-002	No material or nonsubstantive change to a currently approved collection	2024-12-04
202409-2528-002	No material or nonsubstantive change to a currently approved collection	2024-10-15
202207-2528-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-07-20
202108-2528-001 Approved without change	New collection (Request for a new OMB Control Number)	2022-01-03