49414 Federal Register / Vol. 82, No. 205 / Wednesday, October 25, 2017 / Notices 

DEPARTMENT OF HOUSING AND 

URBAN DEVELOPMENT 

[Docket No. FR–5997–N–67] 

30-Day Notice of Proposed Information 

Collection: HUD Supportive Services 

Demonstration/Integrated Wellness in 

Supportive Housing—IWISH 

AGENCY: Office of the Chief Information 

Officer, HUD. 

ACTION: Notice. 

SUMMARY: HUD submitted the proposed 

information collection requirement 

described below to the Office of 

Management and Budget (OMB) for 

review, in accordance with the 

Paperwork Reduction Act. The purpose 

of this notice is to allow for an 

additional 30 days of public comment. 

DATES: Comments Due Date: November 

24, 2017. 

ADDRESSES: Interested persons are 

invited to submit comments regarding 

this proposal. Comments should refer to 

the proposal by name and/or OMB 

Control Number and should be sent to: 

HUD Desk Officer, Office of 

Management and Budget, New 

Executive Office Building, Washington, 

DC 20503; fax: 202–395–5806. Email: 

OIRA_Submission@omb.eop.gov. 

FOR FURTHER INFORMATION CONTACT: 

Anna P. Guido, Reports Management 

Officer, QDAM, Department of Housing 

and Urban Development, 451 7th Street 

SW., Washington, DC 20410; email 

Anna P. Guido at Anna.P.Guido@

hud.gov or telephone 202–402–5535. 

This is not a toll-free number. Persons 

with hearing or speech impairments 

may access this number through TTY by 

calling the toll-free Federal Relay 

Service at (800) 877–8339. 

Copies of available documents 

submitted to OMB may be obtained 

from Ms. Guido. 

SUPPLEMENTARY INFORMATION: This 

notice informs the public that HUD is 

seeking approval from OMB for the 

information collection described in 

Section A. 

The Federal Register notice that 

solicited public comment on the 

information collection for a period of 60 

days was published on January 9, 2017 

at 82 FR 2390. 

A. Overview of Information Collection 

Title of Information Collection: HUD 

Supportive Services Demonstration/ 

Integrated Wellness in Supportive 

Housing (IWISH). 

OMB Approval Number: Pending. 

Type of Request: 2528–New. 

Form Number: No forms. 

Description of the need for the 

information and proposed use: HUD 

assists a large vulnerable senior 

population in its Section 202 and other 

elderly-designated properties. By virtue 

of their advanced ages, low-incomes and 

other demographic characteristics, 

residents in these communities have 

complex social, health and functional 

situations. The quality affordable 

housing provided by HUD provides a 

fundamental base for these individuals 

to age safely in their community. With 

housing as a key social determinant of 

health, HUD wishes to leverage its 

properties as a platform for the 

coordination and delivery of services to 

better address the interdependent health 

and supportive service needs of its older 

residents. The Fiscal Year (FY) 2014 

Consolidated Appropriations Act gave 

HUD the authority to develop a 

demonstration to test a model of 

housing and supportive services for 

low-income elderly residents in HUDassisted housing. In FY 2015, HUD 

announced the availability of a funding 

opportunity under the Supportive 

Services Demonstration that will 

provide grants to properties owner to 

participate in the demonstration. The 

purpose of this demonstration is to test 

model of housing and supportive 

services with the potential to delay 

nursing home care for low-income 

elderly residents in HUD-assisted 

housing. HUD aims to better manage 

residents’ health, decrease emergency 

room and hospital utilization, and 

maintain residents’ independence in 

their homes for a longer period of time, 

thus delaying or preventing transfers to 

a higher level of care. 

Conducting this research will require 

the Implementation Team (The Lewin 

Group and our partners from Leading 

Age and the National Center for Healthy 

Aging, under HUD contract 

HHSP23337002T) to collect selfreported information from 

demonstration participants. The 

Implementation Team will leverage 

existing validated tools combined 

together in one comprehensive Resident 

Needs Assessment. The Resident Needs 

Assessment requests information on 

demographics, health status and ability 

to complete activities of Daily Living 

(ADLs), and Instrumental Activities of 

Daily Living (IADLs), as well as other 

social and medical service information. 

The Resident Needs Assessment will 

occur face-to-face in a private setting 

administered by trained enhanced 

service coordinators or wellness nurses. 

The assessment interview is expected to 

last an average of 90 minutes. 

Respondents: This information 

collection will affect approximately 

4,000 individuals residing in units of 40 

funded demonstration sites 

(approximately 100 residents per 

property; 40 properties in total). 

Respondents are expected to be lowincome seniors who currently reside in 

HUD-assisted multi-family properties. 

All respondents will be presented with 

an IRB approved informed consent form 

prior to participation in the 

demonstration. In their consent, 

individuals agree to the collection of 

data about their health and wellness. 

Upon consent, respondents will be 

requested to complete a Resident Needs 

Assessment within 45 days of 

enrollment in the demonstration. 

Information will be collected in a 

secure web-based platform that meets 

all required federal regulations to track 

general health and service use 

information. Information will be 

attributed to individuals by name. 

Names and information collected in a 

project-specific web-based platform will 

link to HUD administrative data, which 

HUD can be linked to Medicare and 

possibly Medicaid data for program 

evaluation purposes. All collected 

information will be self-reported and 

will inform the development of 

individualized healthy aging plans and 

property-wide health education/ 

promotion activities and programs, 

including selection of specific evidencebased interventions to be implemented 

within demonstration sites. 

Additionally, results will support the 

evaluation of the demonstration in 

meeting HUD’s goals and desired 

outcomes for the national 

demonstration. 

The table below estimates the total 

burden to the public for the proposed 

information collection, assuming an 

hourly cost per response based on the 

income levels of respondents. Hourly 

costs were estimated using FY2016 

income limits from the Office of Policy 

Development and Research through 

HUD’s Web site located at https://

www.huduser.gov/portal/datasets/il/ 

il16/index.html. 

HUD tiers income levels for funded 

recipients at three levels: Extremely 

low, very low, and low. For purposes of 

burden estimate, we selected the ‘‘low 

income’’ tier to identify a median 

income level. 

Further delineation of the burden 

estimates requires income adjustments 

based on the number of individuals 

residing with the respondent. Using 

HUD data to conduct data analysis, we 

estimate that: 

• 67% of potential respondents will live 

alone (2,847.00 respondents) 

• 17% will reside with a spouse (722.00 

respondents) 

• 8% will reside with three people 

(340.00 respondents) 


sradovich on DSK3GMQ082PROD with NOTICES
Federal Register / Vol. 82, No. 205 / Wednesday, October 25, 2017 / Notices 49415 

• 8% will reside with four people 

(340.00 respondents) 

For HUD, the baseline for median 

income is based on a four-person 

household. For FY 2016 this was 

adjusted at $65,800. Adjustments for 

number of residents are legislated by 

Congress. 

• A single household is adjusted at 70% 

of income of baseline ($46,060) 

• Living with spouse is adjusted at 80% 

of income of baseline ($52,640) 

• Living in a three person household is 

adjusted at 90% of income of baseline 

($59,020) 

These income adjustments, based on 

both probability of residence status as 

well as adjustments based on the 

income baseline, are used to estimate 

burden of information collection in the 

table below. 

Information collection Number of 

respondents 

Frequency of 

response 

Responses 

per annum 

Burden hour 

per response 

Annual burden 

hours 

Hourly cost 

per response Annual cost 

HUD Residents living 

alone (single household) .......................... 2,847.00 1.00 2,847.00 1.50 4,270.50 $22.14 $94,548.87 

HUD Residents living 

with spouse (2-person household) ......... 722.00 1.00 722.00 1.50 1,083.00 25.31 27,410.73 

HUD Residents in 3- 

person household ..... 340.00 1.00 340.00 1.50 510.00 28.47 14,519.70 

HUD Residents in 4- 

person household ..... 340.00 1.00 340.00 1.50 510.00 31.63 16,131.30 

Total ...................... 4,249.00 ........................ ........................ ........................ 6,373.50 ........................ 152,610.60 

B. Solicitation of Public Comment 

This notice is soliciting comments 

from members of the public and affected 

parties concerning the collection of 

information described in Section A on 

the following: 

(1) Whether the proposed collection 

of information is necessary for the 

proper performance of the functions of 

the agency, including whether the 

information will have practical utility; 

(2) The accuracy of the agency’s 

estimate of the burden of the proposed 

collection of information; 

(3) Ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and 

(4) Ways to minimize the burden of 

the collection of information on those 

who are to respond; including using 

appropriate automated collection 

techniques or other forms of information 

technology, e.g., permitting electronic 

submission of responses. 

HUD encourages interested parties to 

submit comment in response to these 

questions. 

Authority: Section 3507 of the Paperwork 

Reduction Act of 1995, 44 U.S.C. Chapter 35. 

Dated: October 17, 2017. 

Anna P. Guido, 

Department Reports Management Officer, 

Office of the Chief Information Officer. 

[FR Doc. 2017–23187 Filed 10–24–17; 8:45 am] 

BILLING CODE 4210–67–P 

DEPARTMENT OF HOUSING AND 

URBAN DEVELOPMENT 

[Docket No. FR–5997–N–70] 

30-Day Notice of Proposed Information 

Collection: Record of Employee 

Interview 

AGENCY: Office of the Chief Information 

Officer, HUD. 

ACTION: Notice. 

SUMMARY: HUD is seeking approval from 

the Office of Management and Budget 

(OMB) for the information collection 

described below. In accordance with the 

Paperwork Reduction Act, HUD is 

requesting comment from all interested 

parties on the proposed collection of 

information. The purpose of this notice 

is to allow for 30 days of public 

comment. 

DATES: Comments Due Date: November 

24, 2017. 

ADDRESSES: Interested persons are 

invited to submit comments regarding 

this proposal. Comments should refer to 

the proposal by name and/or OMB 

Control Number and should be sent to: 

HUD Desk Officer, Office of 

Management and Budget, New 

Executive Office Building, Washington, 

DC 20503; fax:202–395–5806, Email: 

OIRA Submission@omb.eop.gov 

FOR FURTHER INFORMATION CONTACT: 

Anna P. Guido, Reports Management 

Officer, QMAC, Department of Housing 

and Urban Development, 451 7th Street 

SW., Washington, DC 20410; email 

Anna P. Guido at Anna.P.Guido@

hud.gov or telephone 202–402–5535. 

This is not a toll-free number. Person 

with hearing or speech impairments 

may access this number through TTY by 

calling the toll-free Federal Relay 

Service at (800) 877–8339. Copies of 

available documents submitted to OMB 

may be obtained from Ms. Guido. 

SUPPLEMENTARY INFORMATION: This 

notice informs the public that HUD is 

seeking approval from OMB for the 

information collection described in 

Section A. 

The Federal Register notice that 

solicited public comment on the 

information collection for a period of 60 

days was published on May 19, 2017 at 

81 FR 23060. 

A. Overview of Information Collection 

Title of Information Collection: 

Record of Employee Interview. 

OMB Approval Number: 2501–0009. 

Type of Request: Reinstatement 

without change of a previously 

approved collection. 

Form Number: HUD–11. 

Description of the need for the 

information and proposed use: The 

information is used by HUD and 

agencies administering HUD programs 

to collect information from laborers and 

mechanics employed on projects 

subjected to the Federal Labor 

Standards provisions. The information 

collected is compared to information 

submitted by the respective employer 

on certified payroll reports. The 

comparison tests the accuracy of the 

employer’s payroll data and may 

disclose violations. 

Generally, these activities are geared 

to the respondent’s benefit that is to 

determine whether the respondent was 

underpaid and to ensure the payment of 

wage restitution to the respondent. 


sradovich on DSK3GMQ082PROD with NOTICES