Study participants baseline interview

Supportive Housing & Individual Placement and Support (SHIPS) Study

Documents and Forms

Document Name Document Type
ICAP SHIPS BaselineInterviewDemographics (revised).pdf Other-ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewDisabilityHis V2.pdf Other-ICAP SHIP Baseline Interview D
ICAP SHIPS BaselineInterviewEmploymentInc V2.pdf Other-ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewFinancialDist V2.pdf Other- ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewHousingHistor V2.pdf Other-ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewLifetimeJusti V2.pdf Other- ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewSatisfactionW V2.pdf Other-ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewSF12_SHIPS V2.pdf Other- ICAP SHIPS Baseline Interview
ICAP SHIPS BaselineInterviewSocialCapital V2.pdf Other-ICAP SHIPS Baseline InterviewS
ICAP SHIPS consent form (revised).pdf Other- ICAP SHIPS consent form
ICAP SHIPS BaselineInterviewDemographics (current).pdf ICAP SHIPS BaselineInterviewDemographics (current) IC Document
ICAP SHIPS consent form (current).pdf CAP SHIPS consent form (current) IC Document

Information Collection (IC) Details

IC Title:	Study participants baseline interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-ICAP SHIPS Baseline Interview Demographics	ICAP SHIPS BaselineInterviewDemographics (revised).pdf	No	Paper Only
Other-ICAP SHIP Baseline Interview Disability	ICAP SHIPS BaselineInterviewDisabilityHis V2.pdf	No	Paper Only
Other-ICAP SHIPS Baseline Interview Employment	ICAP SHIPS BaselineInterviewEmploymentInc V2.pdf	No	Paper Only
Other- ICAP SHIPS Baseline Interview Financial	ICAP SHIPS BaselineInterviewFinancialDist V2.pdf	No	Paper Only
Other-ICAP SHIPS Baseline Interview Housing History	ICAP SHIPS BaselineInterviewHousingHistor V2.pdf	No	Printable Only
Other- ICAP SHIPS Baseline Interview Lifetime	ICAP SHIPS BaselineInterviewLifetimeJusti V2.pdf	No	Paper Only
Other-ICAP SHIPS Baseline Interview Satisfaction	ICAP SHIPS BaselineInterviewSatisfactionW V2.pdf	No	Paper Only
Other- ICAP SHIPS Baseline Interview SF12_SHIPS	ICAP SHIPS BaselineInterviewSF12_SHIPS V2.pdf	No	Paper Only
Other-ICAP SHIPS Baseline InterviewSocial Capital	ICAP SHIPS BaselineInterviewSocialCapital V2.pdf	No	Paper Only
Other- ICAP SHIPS consent form	ICAP SHIPS consent form (revised).pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	580	580
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICAP SHIPS BaselineInterviewDemographics (current)	ICAP SHIPS BaselineInterviewDemographics (current).pdf	07/02/2025
CAP SHIPS consent form (current)	ICAP SHIPS consent form (current).pdf	07/02/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.