Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS)

Formative Data Collections for ACF Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
INSTRUMENT 1. State Model Profile v2.docx Other-
INSTRUMENT 2. Local Model Profile v2.docx Other-
INSTRUMENT 3. Request for Staffing Information.docx Other-
INSTRUMENT 4. State Telephone Interview Protocol COVID-19 Additions CLEAN v2.docx Other-
INSTRUMENT 5. Local Telephone Interview Protocol COVID-19 Additions CLEAN v3.docx Other-
Supporting Statement A - AMCS Study for OPRE Pilot with OIRA_July 2019 v6.docx Supporting Statement A - AMCS Study - Formative generic IC Document
Supporting Statement B - AMCS Study for OPRE Pilot with OIRA_July 2019 v3.docx Supporting Statement B - AMCS Study - Formative generic IC Document
NonSub Change Request AMCS May 2020 v3.docx NonSub Change Memo - COVID Changes_AMCS_May 2020 IC Document

Information Collection (IC) Details

IC Title:	Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS)	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-	INSTRUMENT 1. State Model Profile v2.docx	Yes	Yes	Fillable Fileable
Other-	INSTRUMENT 2. Local Model Profile v2.docx	Yes	Yes	Fillable Fileable
Other-	INSTRUMENT 3. Request for Staffing Information.docx	Yes	Yes	Fillable Fileable
Other-	INSTRUMENT 4. State Telephone Interview Protocol COVID-19 Additions CLEAN v2.docx	No		Paper Only
Other-	INSTRUMENT 5. Local Telephone Interview Protocol COVID-19 Additions CLEAN v3.docx	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 226	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	226	226
Annual IC Time Burden (Hours)	277	277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A - AMCS Study - Formative generic	Supporting Statement A - AMCS Study for OPRE Pilot with OIRA_July 2019 v6.docx	08/09/2019
Supporting Statement B - AMCS Study - Formative generic	Supporting Statement B - AMCS Study for OPRE Pilot with OIRA_July 2019 v3.docx	08/09/2019
NonSub Change Memo - COVID Changes_AMCS_May 2020	NonSub Change Request AMCS May 2020 v3.docx	05/13/2020

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