Appendix C_Providers Online Screener Instructions

Appendix C_Providers Online Screener Instructions_BLH Technologies, Inc. OFA RSN 75P00119F37004_08 30 2020.docx

Formative Data Collections for ACF Program Support

Appendix C_Providers Online Screener Instructions

OMB: 0970-0531

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OMB Control Number: 0970-0531

Expiration date: 7/31/2022


Appendix C

Providers Online Screener Instructions

Communications Focus Groups for Remaking the Safety Net


Paperwork Reduction Act of 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering information to provide constituent research designed to understand target audiences with experience with economic and social safety net programming. The focus group and research will help identify experiences and perception of participants, and identify ways for the Office of Family Assistance (OFA) to produce communications messaging about safety net programming in a clear and resonant manner. The focus group will assist the program office in; (1) gathering feedback on safety net programming, (2) creating resonant communications messages, and (3) identifying trustworthy and relevant channels for communication with program service providers and beneficiaries. Public reporting for this collection of information is estimated to average 15 minutes per respondent, including time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is not required to retain a benefit. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # for this collection is 0970-0531 and the expiration date is 7/31/2022. If you have any comments on this collection of information, please contact Lizeth Hester, Program Specialist, Training and Technical Assistance - Office of Family Assistance, [email protected] (202) 205-8283. 



[EMAIL MESSAGE LINKING TO ONLINE SCREENER]:


Hello [INSERT PARTICIPANT NAME]!


STUDY TOPIC: Remaking the Safety Net


STUDY NUMBER: [TBD – ASSIGNED BY RECRUITING PARTNER]


WHEN: [INSERT DATES OF ONLINE FOCUS GROUP]


WHAT: Two-Hour Online Focus Group


INCENTIVE: $75 if you qualify and fully participate


[CLICKABLE LINK INCLUDED:] Start Survey Here


[CLICKABLE LINK INCLUDED:] Visit Community


We are conducting a brief market research study about social service programs for the Federal government. We can assure you that your responses to this survey will in no way impact your eligibility for programs and services.


*START SURVEY BUTTON CAN ONLY BE CLICKED ONCE*


Many Thanks,
20|20 Research Panel
K2 Team










  1. INSTRUCTION: SELECT ONE RESPONSE

  2. INSTRUCTION: SELECT ONE RESPONSE


Faith-Based Organizations

  1. INSTRUCTION: SELECT ALL THAT APPLY

  2. INSTRUCTION: WRITE YOUR ANSWER BELOW

  3. INSTRUCTION: SELECT ALL THAT APPLY

  4. INSTRUCTION: WRITE YOUR ANSWER BELOW

  5. INSTRUCTION: SELECT ALL THAT APPLY

  6. INSTRUCTION: SELECT ALL THAT APPLY

Social Enterprise Questions

  1. INSTRUCTION: SELECT ALL THAT APPLY

  2. INSTRUCTION: SELECT ALL THAT APPLY

  3. INSTRUCTION: WRITE YOUR ANSWER BELOW

  4. INSTRUCTION: WRITE YOUR ANSWER BELOW

  5. INSTRUCTION: SELECT ALL THAT APPLY

Government Organization/Human Service Practitioners Questions

  1. INSTRUCTION: SELECT ALL THAT APPLY

  2. INSTRUCTION: SELECT ALL THAT APPLY

  3. INSTRUCTION: WRITE YOUR ANSWER BELOW



[Continued Questions for Participants Qualifying for Faith-Based Organizations, Social Enterprise Organizations, or Government Organizations)

  1. INSTRUCTION: SELECT ONE RESPONSE

  2. INSTRUCTION: SELECT ONE RESPONSE

  3. INSTRUCTION: SELECT ONE RESPONSE

  4. INSTRUCTION: SELECT ONE RESPONSE

  5. INSTRUCTION: SELECT ONE RESPONSE

  6. INSTRUCTION: WRITE YOUR ANSWER BELOW


INVITATION

SELECT ONE RESPONSE; CONFIRM CONTACT INFORMATION



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