Information Collection

ACF Behavioral Interventions to Advance Self-Sufficiency (BIAS) Project

IC 204482 under ICR 201208-0970-001 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A.1_Protocol for Administrators.docx	Other-Interview
Appendix A.2_Protocol for Staff.docx	Other-Interview
Appendix A.3_Protocol for Clients.docx	Other-Interview
BIAS Generic Supporting Statement A.docx BIAS Generic Supporting Statement A	IC Document
BIAS Generic Supporting Statement B.docx BIAS Generic Supporting Statement B	IC Document
Appendix B_Consent Forms.docx Appendix B_Consent Forms	IC Document

IC Title:

ACF Behavioral Interventions to Advance Self-Sufficiency (BIAS) Project

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview	Appendix A.1_Protocol for Administrators.docx	Yes	Yes	Fillable Fileable
Other-Interview	Appendix A.2_Protocol for Staff.docx	Yes	Yes	Fillable Fileable
Other-Interview	Appendix A.3_Protocol for Clients.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 156

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	156	0	0	0	0	0
Annual IC Time Burden (Hours)	156	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BIAS Generic Supporting Statement A	BIAS Generic Supporting Statement A.docx	10/10/2012
BIAS Generic Supporting Statement B	BIAS Generic Supporting Statement B.docx	10/10/2012
Appendix B_Consent Forms	Appendix B_Consent Forms.docx	10/10/2012

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