Information Collection

Communications Focus Groups for Remaking the Safety Net

IC 243673 under ICR 202009-0970-017 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

2026-06-25 - No material or nonsubstantive change to a currently approved collection
2026-06-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1 - Beneficiaries Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	Other-Beneficiaries Online Screener
Instrument 2 - Beneficiaries Telephone Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	Other-Beneficiaries Telephone Screen
Instrument 3 - Providers Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	Other-Providers Online Screener
Instrument 4 - Providers Telephone Screener_BLH Technologies, Inc. OFA RSN 7500119F737004_08 27 2020.docx	Other-Providers Telephone Screener
Instrument 5 - Beneficiaries Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	Other-Beneficiaries Discussion Guide
Instrument 6 - Providers Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	Other-Providers Discussion Guide
Appendix A_Beneficiaries Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx Appendix A_Beneficiaries Online Screener Instructions	IC Document
Appendix B_Beneficiaries Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx Appendix B_Beneficiaries Telephone Screener Instructions	IC Document
Appendix C_Providers Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx Appendix C_Providers Online Screener Instructions	IC Document
Appendix D_Proivders Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx Appendix D_Proivders Telephone Screener Instructions	IC Document
Appendix E_Beneficiaries Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx Appendix E_Beneficiaries Discussion Guide Instructions	IC Document
Appendix F_Providers Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx Appendix F_Providers Discussion Guide Instructions	IC Document
SSA Formative Data Collections for Program Support - OFA RSN 75P00119F37004_08 30 2020.docx Supporting Statement A: Communications Focus Groups_2020	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Communications Focus Groups for Remaking the Safety Net

Agency IC Tracking Number:

OFA

IC Status: Unchanged

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-Beneficiaries Online Screener	Instrument 1 - Beneficiaries Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	Yes	Yes	Fillable Fileable
Other-Beneficiaries Telephone Screener	Instrument 2 - Beneficiaries Telephone Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	No		Paper Only
Other-Providers Online Screener	Instrument 3 - Providers Online Screener_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 27 2020.docx	Yes	Yes	Fillable Fileable
Other-Providers Telephone Screener	Instrument 4 - Providers Telephone Screener_BLH Technologies, Inc. OFA RSN 7500119F737004_08 27 2020.docx	No		Paper Only
Other-Beneficiaries Discussion Guide	Instrument 5 - Beneficiaries Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	No		Paper Only
Other-Providers Discussion Guide	Instrument 6 - Providers Discussion Guide_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,032

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,032	6,032
Annual IC Time Burden (Hours)	2,074	2,074
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A_Beneficiaries Online Screener Instructions	Appendix A_Beneficiaries Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx	09/17/2020
Appendix B_Beneficiaries Telephone Screener Instructions	Appendix B_Beneficiaries Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx	09/17/2020
Appendix C_Providers Online Screener Instructions	Appendix C_Providers Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx	09/17/2020
Appendix D_Proivders Telephone Screener Instructions	Appendix D_Proivders Telephone Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx	09/17/2020
Appendix E_Beneficiaries Discussion Guide Instructions	Appendix E_Beneficiaries Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	09/17/2020
Appendix F_Providers Discussion Guide Instructions	Appendix F_Providers Discussion Guide Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_09 16 2020.docx	09/17/2020
Supporting Statement A: Communications Focus Groups_2020	SSA Formative Data Collections for Program Support - OFA RSN 75P00119F37004_08 30 2020.docx	09/17/2020

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