Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 PIPPilot PreonsiteFeedbackSurvey	Form and Instruction	Unchanged	Available
Form 1 PIPPilot Onsite Feedback Survey	Form and Instruction	Unchanged	Available
Form 1 PIPPilot	Form and Instruction	Unchanged	Available
Form 1 PIPPilot	Form and Instruction	Unchanged	Available
Form 1 Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged	Repair queued
Form 1 ANA GM - Blank Survey Form	Form and Instruction	Unchanged	Available
Form 1 2018 ANA Grantee Meeting Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Social Norms Quiz	Form and Instruction	Unchanged	Available
Form 1 Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Repair queued
Form 1 Feedback Form on Strategies Related to Opioid Misuse	Form and Instruction	Unchanged	Available
Form 1 Feedback on Strategies Related to Opioid Misuse	Form and Instruction	Unchanged	Missing upstream
Form 1 Attachment 1-Survey	Form and Instruction	Unchanged	Available
Form 1 Adolescent Pregnancy Preventing Training & Technical Assistance	Form and Instruction	Unchanged	Repair queued
Form 1 Unit 6 Pre-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 6 Post-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 5 Pre-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 5 Post-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 4 Pre--Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 4 Post-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 3 Pre-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 3 Post-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 2 Pre-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 2 Post-Test Final	Form and Instruction	Unchanged	Available
Form 1 Unit 1 Post Test Final	Form and Instruction	Unchanged	Available
Form 1 Participant Experience Survey Final	Form and Instruction	Unchanged	Available
Form 1 Instructor Unit Survey Final	Form and Instruction	Unchanged	Available
Form 1 Instructior Experience Survey Final	Form and Instruction	Unchanged	Available
Form 36 EBPAS-36	Form and Instruction	Unchanged	Available
Form 36 Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Repair queued
Form 1 Region-XII-TTA Feedback Form	Form and Instruction	Unchanged	Available
Form 1 Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback	Form and Instruction	Unchanged	Repair queued
Form 1 Youth Assent Form The Hive	Form and Instruction	Unchanged	Available
Form 1 Display	Form and Instruction	Unchanged	Available
Form 1 CTK Youth Assent Form	Form and Instruction	Unchanged	Available
Form 1 CTK Parent Consent Form	Form and Instruction	Unchanged	Available
Form 1 Attachment 1 Discussion Prompts	Form and Instruction	Unchanged	Available
Form 1 Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Repair queued
Form 1 CTK Youth Assent Form	Form and Instruction	Unchanged	Available
Form 1 CTK Parent Consent Form	Form and Instruction	Unchanged	Available
Form 1 Attachment 1	Form and Instruction	Unchanged	Repair queued
Form 1 Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Repair queued
Form 1 OCC OMB SCBC Task 4 Impact Instrument	Form and Instruction	Unchanged	Available
Form 1 State Capacity Building Center Tailored TA Feedback Collection for Impact Project	Form and Instruction	Unchanged	Repair queued
Form 1 ILIAD 2019 Youth Summit Planning Committee Survey	Form and Instruction	Unchanged	Available
Form 1 2019 Youth Summit Committe Planning Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Grantee Meeting Pre-Survey	Form and Instruction	Unchanged	Available
Form 1 2018 ANA Grantee Meeting Pre-Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Post Phone Calll Survey	Form and Instruction	Unchanged	Available
Form 1 HSICC Post Phone Call Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Task 3 Webinars	Form and Instruction	Unchanged	Available
Form 1 TA Assistance Feedback Collection for Webinars	Form and Instruction	Unchanged	Repair queued
Form 1 Traininging for Training	Form and Instruction	Unchanged	Available
Form 1 Infant Toddler Specialist Network Training for Trainers (TFT)	Form and Instruction	Unchanged	Repair queued
Form 1 ECLKC-tree-jack survey instrument	Form and Instruction	Unchanged	Available
Form 1 Information Architecture Testing of the Early Childhood Learning and Knowledge Center	Form and Instruction	Unchanged	Repair queued
Form 1 OFA Convening Overall Assessment	Form and Instruction	Unchanged	Available
Form 1 OFA TANF TA Convening Overall Evaluation Assessment	Form and Instruction	Unchanged	Repair queued
Form 1 OFA Convening Individual Assessment	Form and Instruction	Unchanged	Available
Form 1 OFA TANF TA Convening Individual Session Assessment	Form and Instruction	Unchanged	Repair queued
Form 1 2018 I-LEAD Youth Summiot Survey	Form and Instruction	Unchanged	Available
Form 1 ANA Youth Summit Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Service Delivery Feedback Form OHS Region 12	Form and Instruction	Unchanged	Available
Form 1 Region XII Migrant and Seasonal Head Start T/TA Service Deloivery Feedback	Form and Instruction	Unchanged	Repair queued
Form 1 TTA Network Training Feedback	Form and Instruction	Unchanged	Available
Form 1 OHS TTA Network Training Feedback Form	Form and Instruction	Unchanged	Missing upstream
Form 1 Peer Learning	Form and Instruction	Unchanged	Available
Form 1 Feedback Colection for Peer Leaning	Form and Instruction	Unchanged	Repair queued
Form 1 Infant Toddler Specialist Presentations	Form and Instruction	Unchanged	Available
Form 1 Infant Toddler Specialist Presentation	Form and Instruction	Unchanged	Repair queued
Form 1 Infant Toddler Specialist Individualized Technical Assistance	Form and Instruction	Unchanged	Available
Form 1 Infant Toddler Spcialist Infividualized Technical Assistance	Form and Instruction	Unchanged	Repair queued
Form 1 ECTTAS Coordination Survey	Form and Instruction	Unchanged	Available
Form 1 ECTTAS Coordination Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Communities of Practice	Form and Instruction	Unchanged	Available
Form 1 Communities of Practice	Form and Instruction	Unchanged	Available
Form 1 CCDF Administrators	Form and Instruction	Unchanged	Available
Form 1 CCDF Administrator Feedback Collection	Form and Instruction	Unchanged	Repair queued
Form 1 ORO Webinar or Meeting Feedback Survey	Form and Instruction	Unchanged	Available
Form 1 ACF Office of Regional Operations Curstomers Feedback for Learning Experiences	Form and Instruction	Unchanged	Repair queued
Form 1 RETA-Feedback Form	Form and Instruction	Unchanged	Available
Form 1 Regorous Evaluation Technical Assistance (RETA) Feedback Form	Form and Instruction	Unchanged	Missing upstream
Form 1 MIECHV	Form and Instruction	Unchanged	Available
Form 1 Maternal, Infant, and Early Childhood Home Visiting (MEICHV) Continuous Quality Improvement	Form and Instruction	Unchanged	Repair queued
Form 1 DOHVE 2	Form and Instruction	Unchanged	Available
Form 1 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey	Form and Instruction	Unchanged	Missing upstream
Form 1 SARHM generic OMB	Form and Instruction	Unchanged	Available
Form 1 Focus Group with Healthy Marriage and Relationship Education (HMRE)	Form and Instruction	Unchanged	Missing upstream
Form FRPN Feedback Inst FRPN Feedback Instrument	Form and Instruction	Unchanged	Available
Form FRPN Feedback Inst Comment Form: Fatherhood Research and Practice Netrwork Learning Community	Form and Instruction	Unchanged	Repair queued
Form 1 CWIG Customer Satisfaction Assessment Data Collection Instruments	Form and Instruction	Unchanged	Available
Form 1 Child Welfare Information Gateway's Customer Satisfaction Assessment	Form and Instruction	Unchanged	Repair queued
NonSub Change Request - Fast Track Generic Customer Support_0970-0401.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-03	Missing upstream
NonSub Change Request-PMFO Conference Feedback Form-7-17-20.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-07-17	Missing upstream
Supporting Statement for Fast Track_Interim Burden Increase.docx	Supporting Statement A	Uploaded 2021-05-03	Repair queued
Justification for Increase in Fast Track Burden Ceiling 5-17.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-05-31	Missing upstream
ACF Nonmaterial Nonsubstantive Change Request.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-11-19	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
247187	Standard Evaluation Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings	Other-Survey	New
247186	Healthy Marriage and Responsible Fatherhood (HMRF) Training and Technical Assistance (TTA) Grantee Feedback and Needs	Other-Questionnaire	New
247181	Adolescent Pregnancy Prevention Training & Technical Assistance 2021 Conference Feedback Surveys	Other-Overall Conference Survey	New
247177	State Capacity Building Center Feedback Collections for Training and Technical Assistance Web Content, Webinars, and Presentations	Other-	New
246956	State Capacity Building Center Feedback Collections for Communities of Practice and Peer Learning Groups, Training for Trainers, and Fundamentals of CCDF Administration	Other-Survey	Unchanged
246955	State Capacity Building Center Feedback Collection for Individualized Technical Assistance	Other-Survey	Unchanged
246954	State Capacity Building Center Feedback Collections for CCDF Administrators and for Technical Assistance Partners	Other-Survey - CCDF Administrators	Unchanged
246934	Screenings 2 Services Challenge: Feedback Survey	Other-Survey	Unchanged
246914	Sexual Risk Avoidance Education National Evaluation Data Capacity Building Grantee Feedback	Other-Survey	Unchanged
246867	nFORM 2.0 Help Desk Customer Service Feedback Surveys	Other-Survey	Unchanged
246865	Missing and Murdered American Indian and Alaska Natives Technical Assistance Presentations Pre- and Post-Surveys	Other-Pre-Survey	Unchanged
246818	Community-Based Child Abuse Prevention (CBCAP) Participant Feedback Survey	Other-Survey	Unchanged
246812	Children's Bureau Learning & Coordination Center (CBLCC) Participant Satisfaction Survey - April 2021 Update	Other-Survey	Unchanged
246781	Web Meetings of Child Care Policy Research Partnership - Participant Feedback	Other-Poll Qs	Unchanged
246763	Community of Practice (CoP) 2021 Virtual Annual Meeting CCDBG Implementation Research and Evaluation Grantee Meeting Evaluation Form	Other-Survey	Unchanged
246738	Runaway and Homeless Youth Program Training and Technical Assistance Center (RHYTTAC) Training and Technical Assistance Event Feedback Form	Other-survey	Unchanged
246721	State Repatriation Coordinator Feedback	Other-Feedback Survey	Unchanged
246649	Regional Partnership Grant (RPG) Meeting Evaluation Feedback	Other-Survey	Unchanged
246499	Usability testing for the Pathways to Work Evidence Clearinghouse website	Other-Protocol	Unchanged
246401	Center for States Customer Experience Focus Group Guide	Other-Focus Group Guide	Unchanged
246282	National Center on Parent, Family and Community Engagement (PFCE) Standard Training/Technical Assistance Customer Feedback Survey	Other-Survey	Unchanged
246281	Polling questions for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings	Other-Survey	Unchanged
246275	Administration for Native Americans (ANA) Peer Panel Review Surveys	Other-Survey	Unchanged
246045	Center for States Live Chat Survey	Other-Feedback Survey	Unchanged
246043	Low Income Home Energy Assistance Program (LIHEAP) 2021 Annual Grantee Virtual Training Conference Feedback Form	Other-Feedback form	Unchanged
245928	Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Technical Assistance Evaluation (TA) Survey and Immediate Feedback Tool	Other-Feedback Form	Unchanged
245919	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) All Grantee Meeting (AGM) & Tribal Regional Meetings Feedback Surveys	Other-Survey	Unchanged
245834	Children's Bureau Learning & Coordination Center (CBLCC) Website User Satisfaction Survey	Other-Survey	Unchanged
245833	Children's Bureau Learning & Coordination Center (CBLCC) Participant Satisfaction Survey	Other-survey	Unchanged
245775	Standard Feedback Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings	Other-Survey	Unchanged
245512	2021 Administration for Native Americans (ANA) Virtual Grantee Meeting Survey	Other-Survey	Unchanged
245396	Adolescent Pregnancy Prevention Program (APP) Grantee Conference Planning Committee Feedback	Other-Discussion Questions	Unchanged
245357	Personal Responsibility Education Program (PREP) Grantee Training and Technical Assistance Feedback	Other-Survey	Unchanged
245279	Sexual Risk Avoidance Education (SRAE) Grantee Feedback Survey	Other-Survey	Unchanged
245171	Feedback on the Evaluation Goals from the Human Trafficking Youth Prevention Education (HTYPE) Demonstration Program	Other-Small Group Discussion Questions	Unchanged
245144	Feedback on the Provision of Technical Assistance for Personal Responsibility Education Innovative Strategies Program (PREIS) and Tribal PREP (TPREP) Grantees	Other-Feedback Survey	Unchanged
244859	Tribal Home Visiting Evaluation Institute (TEI) Technical Assistance (TA) Satisfaction Survey	Other-Evaluation Survey	Unchanged
244795	Feedback Related to PDG B-5 Technical Assistance Center Communities of Practice and Workgroups	Other-Survey	Unchanged
244794	Feedback related to PDG B-5 Technical Assistance Center Tailored Technical Assistance	Other-Survey	Unchanged
244793	Feedback Related to PDG B-5 Technical Assistance Center Webinars and Workshops	Other-Survey	Unchanged
244792	Scale for Assessing the Attainment of Technical Assistance Outcomes	Other-Survey	Unchanged
244768	Office of Refugee Resettlement Unaccompanied Alien Children (UAC) Path Pre Train-the-Trainer 2021 Survey	Other-Survey	Unchanged
244574	Feedback related to PDG B-5 TA Center Annual All-Grantee Convening	Other-Survey	Unchanged
244482	Feedback Survey for the NS2G Learning Community Calls	Other-Feedback Survey	Unchanged
244481	Child Care Policy Research Partnership Community of Practice - Year 1 Customer Comments	Other-Evaluation Form	Unchanged
244468	Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms	Other-360 Feedback Form: Peer Monitor	Unchanged
244397	Native American Language Symposium Survey and Sessions Survey	Other-Surveys	Unchanged
244393	Panelist and Chair post review surveys for the Family and Youth Services Bureau (FYSB) Discretionary Grant Programs	Other-Survey	Unchanged
244378	Human-Centered Design (HCD) Primer Workshop Feedback Forms	Other-Surveys	Unchanged
244377	Florida Prototype Project Pilot Feedback	Other-Survey	Unchanged
244239	Center for States Internal Evaluation: Interviews with Jurisdictions	Other-Interview Guide	Unchanged
244083	Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form	Other-Daily Feedback Form	Unchanged
243863	2020 OPRE Innovative Methods Meeting: Comment Form	Other-Comment Form	Unchanged
243757	Administration for Native Americans (ANA) 2021 Grantee Meeting Logistics Survey	Other-Pre-Meeting Survey	Unchanged
243722	Family and Youth Services Bureau (FYSB) Grantee COVID Survey	Other-Survey	Unchanged
243543	CCDBG Implementation Research and Evaluation Grantee Community of Practice Meeting Evaluation Form	Other-Evaluation Form	Unchanged
243212	Evidence-Building Academy Participant Project Update and Data Visualizations	Other-Project Update Template	Unchanged
243197	Virtual meeting for soliciting feedback on recruitment and engagement strategies	Other-Questions and Mode of Administration (Private Sector - Man	Unchanged
243078	Evidence Building Academy Midpoint Evaluation Form	Other-Evaluation Form	Unchanged
242565	Office of Family Assistance PeerTA website Evaluation and Satisfaction Survey	Other-Survey	Unchanged
242564	Peer-Based Technical Training and Technical Assistance Feedback Collection Activities	Other-Survye	Unchanged
242468	Administration for Native Americans (ANA) 2020 Discretionary Application Process and Peer Panel Review Surveys	Other-Survey	Unchanged
242408	Evidence-Building Academy Participant Project Introduction	Other-Project Introduction	Unchanged
242233	Administration for Native Americans (ANA) 2020 Initiative for Leadership, Empowerment and Development (I-LEAD) Youth Webinar Series Surveys	Other-Survey	Unchanged
241975	Runaway and Homeless Youth (RHY) Program Virtual Town Halls (Interactive Polling Questions)	Other-Polling questions	Unchanged
241727	National Responsible Fatherhood Clearinghouse User Feedback and Content	Other-	Unchanged
241726	Poll questions for a National Runaway Safeline (NRS) webinar for grantees	Other-polling questions	Unchanged
241608	Adolescent Pregnancy Prevention Training & Technical Assistance 2020 Conference Feedback Surveys	Other-Survey	Unchanged
241330	Office of Refugee Resettlement (ORR) Refugee Programs Training and Technical Assistance Evaluation	Other-Survey	Unchanged
240803	Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment	Other-	Unchanged
240765	Child Welfare Information Gateway Prevention Resource Guide Tip Sheet Feedback Form	Other-Feedback Form	Unchanged
240738	Grantee Feedback for the FVPSA Formula Grantee Meeting Planning	Other-Discussions	Unchanged
240445	In-Person Convening Child Care Policy Research Partnership – Participant Feedback	Other-Survey	Unchanged
240340	Child Care and Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form	Other-Survey	Unchanged
240268	Program Management and Fiscal Operations (PMFO) Hurricane Response and Recovery (HRR) Feedback Survey.	Other-Survey	Unchanged
240262	ACF State and County Human Services Commissioner Surveys	Other-Survey	Unchanged
240138	Center for States 2020 Needs Assessment Survey	Other-Survey	Unchanged
240136	Center for States Needs Assessment Focus Group	Other-Focus Group Protocol	Unchanged
240130	Child Welfare Information Gateway Needs Assessment Focus Group Guide	Other-Focus Group Guide	Unchanged
240123	Feedback on Child Care and Development Fund Plan for States/Territories for FFY 2019–2021 (ACF–118)	Other-Focus Group Protocol	Unchanged
240100	2020 ACF Tribal Peer-to-Peer Grantee Meeting Survey	Other-Survey	Unchanged
240054	Head Start Management Fellows (HSMF) Program Feedback Surveys	Other-Survey	Unchanged
239998	Sexual Risk Avoidance Education (SRAE) Grantee Webinar Satisfaction Survey	Other-Survey	Unchanged
239903	Grant Review Panel Chair Development Training	Other-Feedback form	Unchanged
239893	Runaway and Homeless Youth (RHY) Regional Meeting Evaluation	Other-Survey	Unchanged
239890	Public Assistance Reporting Information System (PARIS) Training Conference Post Event Survey	Other-survey	Unchanged
239881	2020 ACF Native American Grantee Meeting Survey	Other-Survey	Unchanged
239874	Feedback Survey for capacity building, grantee, training, online sessions hosted by the Family and Youth Services Bureau	Other-Survey	Unchanged
239857	Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2020 Annual Meeting	Other-Feedback Survey	Unchanged
239447	National Youth in Transition Database (NYTD) Technical Assistance Utilization and Needs Survey	Other-Survey	Unchanged
239327	Child Care Development Block Grant (CCDBG) National Webinar Feedback Poll	Other-Poll	Unchanged
239307	Grantee Exchange Platform Survey	Other-Survey	Unchanged
239275	Feedback Survey for Human Trafficking webinars, online training, online sessions hosted by the Family and Youth Services Bureau	Other-Survey	Unchanged
239218	Building Evidence Training (BET) Project Usability Testing	Other-Attitude Scale	Unchanged
239176	New Director Mentor Program (NDMP) Feedback Surveys	Other-Initial Survey	Unchanged
239130	Feedback on National Center on Parent, Family and Community Engagement (NCPFCE) Resources	Other-Survey	Unchanged
239129	Leadership Initiative Feedback Surveys	Other-Midpoint Survey	Unchanged
238866	Child Care and Development Fund (CCDF) Policies Database Pop-Up Survey of Website Users	Other-survey	Unchanged
238687	In-Person Convening Child Care Policy Research Partnership - Participant Feedback	Other-Survey	Unchanged
238492	Maternal, Infant, and Early Childhood Home Visiting All Grantee & Tribal Regional Meetings Feedback Tools	Other-	Unchanged
238491	Tribal Home Visiting Technical Assistance Evaluation Feedback and Immediate Feedback Forms	Other-	Unchanged
238489	Coaching Companion Questionnaire	Other-Survey	Unchanged
238453	Family Violence Prevention and Services (FVPSA) 2020 Tribal Grantee Meeting	Other-Questionnaires	Unchanged
238354	Program Management and Fiscal Operations (PMFO) Consulting Initiative (FCI) Feedback Surveys	Other-Survey	Unchanged
238137	Program Management and Fiscal Operations (PMFO) Feedback Survey about the General Business Studies Certificate.	Other-Survey	Unchanged
237946	Comment Form: 2019 OPRE Innovative Methods Meeting.	Other-	Unchanged
237891	Program Management and Fiscal Operations (PMFO) Feedback Surveys	Other-survey	Unchanged
237884	Child Welfare Capacity Building Collaborative Customer Feedback for Webinars and Events	Other-Questionnaire	Unchanged
237851	Child Care Development Block Grant (CCDBG) Implementation Research Webinar Feedback Poll	Other-poll	Unchanged
237808	2019 National Runaway and Homeless Youth (RHY) Grantees Training Evaluations	Other-Feedback Form	Unchanged
237594	Children's Bureau Grantee Connection Survey	Other-survey	Unchanged
237590	Personal Responsibility Education Program (PREP) Grantee Training and Technical Assistance Satisfaction and Needs Assessment	Other-survey	Unchanged
237543	Community Economic Development (CED) Grantee Training Needs Assessment	Other-	Unchanged
237542	Community Economic Development (CED) or Rural Community Development (RCD) Grantee Discussion Groups	Other-Discussion Group	Unchanged
237266	Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting	Other-	Unchanged
237230	National Center on Early Childhood Health and Wellness (NCECHW) Infoline Feedback Form	Other-	Unchanged
237166	Children's Bureau Grantee Feedback Survey	Other-	Unchanged
237065	FY2019 New Capacity Building Center for States Community of Practice: County Administered State Support Interest Survey	Other-Interest Survey	Unchanged
236885	2019 Reader Feedback: Brush Up on Oral Health	Other-	Unchanged
236033	Evaluation of Family Violence Prevention and Services Act (FVPSA) Regional Meeting	Other-Survey	Unchanged
235817	2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback	Other-	Unchanged
235666	Administration for Native Americans (ANA) Application Submission Process Feedback Survey	Other-survey	Unchanged
235646	Administration for Native Americans (ANA) Post Peer Panel Review Survey	Other-	Unchanged
235619	Runaway and Homeless Youth (RHY) Regional Meeting Evaluation	Other-	Unchanged
235540	Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys	Other-survey	Unchanged
235518	Feedback on Mixed-Delivery System and Service Coordination to Inform Appropriate, Tailored and Timely Technical Assistance	Other-Survey	Unchanged
235432	Child Care Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form	Other-survey	Unchanged
235384	Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2019 Annual Meeting	Other-Survey	Unchanged
235379	Sexual Risk Avoidance Education (SRAE) Grantee Training and Technical Assistance Satisfaction Survey	Other-Survey	Unchanged
235370	Usability testing for the "Pathways to Work Evidence Clearinghouse" website	Other-Protocol	Unchanged
235313	Child Welfare Information Gateway Subscription Form	Other-subscription survey	Unchanged
234989	Feedback Survey for Technical and Training Assistance Activities for Family and Youth Services Bureau/ Runaway and Homeless Youth grantees	Other-survey	Unchanged
234917	Listening Session Questions on OHS Training and Technical Assistance System	Other-Survey	Unchanged
234737	Center for States Subscription Form	Other-Subscription Form	Unchanged
234560	Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged	PIPPilot PreonsiteFeedbackSurvey
234560	Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged	PIPPilot Onsite Feedback Survey
234560	Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged	PIPPilot
234560	Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged	PIPPilot
234560	Child Welfare Program Improvement Plan Pilot Evaluation	Form and Instruction	Unchanged
234505	Feedback on Webinars for Data Use and General Info for the National Survey of Early Care and Education (NSECE)	Other-Registration Questions	Unchanged
234089	2018 ANA Grantee Meeting Survey	Form and Instruction	Unchanged	ANA GM - Blank Survey Form
234089	2018 ANA Grantee Meeting Survey	Form and Instruction	Unchanged
234044	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Social Norms Quiz
234044	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged
233914	Feedback on Strategies Related to Opioid Misuse	Form and Instruction	Unchanged	Feedback Form on Strategies Related to Opioid Misuse
233914	Feedback on Strategies Related to Opioid Misuse	Form and Instruction	Unchanged
233701	Adolescent Pregnancy Preventing Training & Technical Assistance	Form and Instruction	Unchanged	Attachment 1-Survey
233701	Adolescent Pregnancy Preventing Training & Technical Assistance	Form and Instruction	Unchanged
233652	Input on Key Functions of Early Care and Education Research Connections Website	Other-Survey	Unchanged
233631	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey	Other-Feedback Form	Unchanged
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 6 Pre-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 6 Post-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 5 Pre-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 5 Post-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 4 Pre--Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 4 Post-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 3 Pre-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 3 Post-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 2 Pre-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 2 Post-Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Unit 1 Post Test Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Participant Experience Survey Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Instructor Unit Survey Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	Instructior Experience Survey Final
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged	EBPAS-36
233584	Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	Form and Instruction	Unchanged
233090	Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback	Form and Instruction	Unchanged	Region-XII-TTA Feedback Form
233090	Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback	Form and Instruction	Unchanged
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Youth Assent Form The Hive
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Display
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	CTK Youth Assent Form
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	CTK Parent Consent Form
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Attachment 1 Discussion Prompts
233069	Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged
233068	Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	CTK Youth Assent Form
233068	Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	CTK Parent Consent Form
233068	Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged	Attachment 1
233068	Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	Form and Instruction	Unchanged
233066	State Capacity Building Center Tailored TA Feedback Collection for Impact Project	Form and Instruction	Unchanged	OCC OMB SCBC Task 4 Impact Instrument
233066	State Capacity Building Center Tailored TA Feedback Collection for Impact Project	Form and Instruction	Unchanged
233025	2019 Youth Summit Committe Planning Survey	Form and Instruction	Unchanged	ILIAD 2019 Youth Summit Planning Committee Survey
233025	2019 Youth Summit Committe Planning Survey	Form and Instruction	Unchanged
233024	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey	Other-Feedback Form	Unchanged
232814	2018 ANA Grantee Meeting Pre-Survey	Form and Instruction	Unchanged	Grantee Meeting Pre-Survey
232814	2018 ANA Grantee Meeting Pre-Survey	Form and Instruction	Unchanged
232746	HSICC Post Phone Call Survey	Form and Instruction	Unchanged	Post Phone Calll Survey
232746	HSICC Post Phone Call Survey	Form and Instruction	Unchanged
232490	TA Assistance Feedback Collection for Webinars	Form and Instruction	Unchanged	Task 3 Webinars
232490	TA Assistance Feedback Collection for Webinars	Form and Instruction	Unchanged
232488	Infant Toddler Specialist Network Training for Trainers (TFT)	Form and Instruction	Unchanged	Traininging for Training
232488	Infant Toddler Specialist Network Training for Trainers (TFT)	Form and Instruction	Unchanged
232184	Information Architecture Testing of the Early Childhood Learning and Knowledge Center	Form and Instruction	Unchanged	ECLKC-tree-jack survey instrument
232184	Information Architecture Testing of the Early Childhood Learning and Knowledge Center	Form and Instruction	Unchanged
232147	OFA TANF TA Convening Overall Evaluation Assessment	Form and Instruction	Unchanged	OFA Convening Overall Assessment
232147	OFA TANF TA Convening Overall Evaluation Assessment	Form and Instruction	Unchanged
232145	OFA TANF TA Convening Individual Session Assessment	Form and Instruction	Unchanged	OFA Convening Individual Assessment
232145	OFA TANF TA Convening Individual Session Assessment	Form and Instruction	Unchanged
232142	ANA Youth Summit Survey	Form and Instruction	Unchanged	2018 I-LEAD Youth Summiot Survey
232142	ANA Youth Summit Survey	Form and Instruction	Unchanged
232015	Comment Form: 2018 OPRE Innovative Methods Meeting.	Other-Meeting Feedback Form	Unchanged
231867	Region XII Migrant and Seasonal Head Start T/TA Service Deloivery Feedback	Form and Instruction	Unchanged	Service Delivery Feedback Form OHS Region 12
231867	Region XII Migrant and Seasonal Head Start T/TA Service Deloivery Feedback	Form and Instruction	Unchanged
231683	OHS TTA Network Training Feedback Form	Form and Instruction	Unchanged	TTA Network Training Feedback
231683	OHS TTA Network Training Feedback Form	Form and Instruction	Unchanged
231664	Feedback Colection for Peer Leaning	Form and Instruction	Unchanged	Peer Learning
231664	Feedback Colection for Peer Leaning	Form and Instruction	Unchanged
231663	Infant Toddler Specialist Presentation	Form and Instruction	Unchanged	Infant Toddler Specialist Presentations
231663	Infant Toddler Specialist Presentation	Form and Instruction	Unchanged
231661	Infant Toddler Spcialist Infividualized Technical Assistance	Form and Instruction	Unchanged	Infant Toddler Specialist Individualized Technical Assistance
231661	Infant Toddler Spcialist Infividualized Technical Assistance	Form and Instruction	Unchanged
231659	ECTTAS Coordination Survey	Form and Instruction	Unchanged	ECTTAS Coordination Survey
231659	ECTTAS Coordination Survey	Form and Instruction	Unchanged
231658	Communities of Practice	Form and Instruction	Unchanged	Communities of Practice
231658	Communities of Practice	Form and Instruction	Unchanged
231657	CCDF Administrator Feedback Collection	Form and Instruction	Unchanged	CCDF Administrators
231657	CCDF Administrator Feedback Collection	Form and Instruction	Unchanged
231551	nFORM Help Desk Customer Service Feedback Surveys	Other-Survey	Unchanged
230092	ACF Office of Regional Operations Curstomers Feedback for Learning Experiences	Form and Instruction	Unchanged	ORO Webinar or Meeting Feedback Survey
230092	ACF Office of Regional Operations Curstomers Feedback for Learning Experiences	Form and Instruction	Unchanged
230091	Regorous Evaluation Technical Assistance (RETA) Feedback Form	Form and Instruction	Unchanged	RETA-Feedback Form
230091	Regorous Evaluation Technical Assistance (RETA) Feedback Form	Form and Instruction	Unchanged
230090	Maternal, Infant, and Early Childhood Home Visiting (MEICHV) Continuous Quality Improvement	Form and Instruction	Unchanged	MIECHV
230090	Maternal, Infant, and Early Childhood Home Visiting (MEICHV) Continuous Quality Improvement	Form and Instruction	Unchanged
230089	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey	Form and Instruction	Unchanged	DOHVE 2
230089	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey	Form and Instruction	Unchanged
230088	Focus Group with Healthy Marriage and Relationship Education (HMRE)	Form and Instruction	Unchanged	SARHM generic OMB
230088	Focus Group with Healthy Marriage and Relationship Education (HMRE)	Form and Instruction	Unchanged
230087	Comment Form: Fatherhood Research and Practice Netrwork Learning Community	Form and Instruction	Unchanged	FRPN Feedback Instrument
230087	Comment Form: Fatherhood Research and Practice Netrwork Learning Community	Form and Instruction	Unchanged
230085	Child Welfare Information Gateway's Customer Satisfaction Assessment	Form and Instruction	Unchanged	CWIG Customer Satisfaction Assessment Data Collection Instruments
230085	Child Welfare Information Gateway's Customer Satisfaction Assessment	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0401	ICR Reference No: 202105-0970-001
Status: Historical Active	Previous ICR Reference No: 202007-0970-006
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/04/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	05/31/2021	05/31/2021
Responses	50,124	0	44,124
Time Burden (Hours)	17,862	0	17,062
Cost Burden (Dollars)	0	0	0

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Abstract: Since approval of th Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery., ACF program offices have found the generic to be very useful to collect information on services and to enable ACF to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. Due to the success of this generic mechanism, we have reached the previously estimated burden amounts just prior to the current expiration date of this OMB # (5/31/2021). In anticipation of requesting an extension, ACF began the process to develop a justification package and published a Federal Register Notice to elicit public comment (85 FR 75020) on the request to extend data collection under this umbrella generic. During the 60-day comment period, ACF did not receive any comments. At this time, ACF would like to request a a nonsubstantive change for a minor burden increase. We are requesting an interim increase in burden of 800 hours. This amount is based on ACF’s plans for submissions under this generic clearance prior to May 30, 2021.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 125 Name of Law: Head Start Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 54345	11/17/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 6025	02/12/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 174

table that charts list of burden

IC Title	Form No.	Form Name
2018 ANA Grantee Meeting Pre-Survey	1	Grantee Meeting Pre-Survey
2018 ANA Grantee Meeting Survey	1	ANA GM - Blank Survey Form
2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback
2019 National Runaway and Homeless Youth (RHY) Grantees Training Evaluations
2019 Reader Feedback: Brush Up on Oral Health
2019 Youth Summit Committe Planning Survey	1	ILIAD 2019 Youth Summit Planning Committee Survey
2020 ACF Native American Grantee Meeting Survey
2020 ACF Tribal Peer-to-Peer Grantee Meeting Survey
2020 OPRE Innovative Methods Meeting: Comment Form
2021 Administration for Native Americans (ANA) Virtual Grantee Meeting Survey
ACF Office of Regional Operations Curstomers Feedback for Learning Experiences	1	ORO Webinar or Meeting Feedback Survey
ACF State and County Human Services Commissioner Surveys
ANA Youth Summit Survey	1	2018 I-LEAD Youth Summiot Survey
Administration for Native Americans (ANA) 2020 Discretionary Application Process and Peer Panel Review Surveys
Administration for Native Americans (ANA) 2020 Initiative for Leadership, Empowerment and Development (I-LEAD) Youth Webinar Series Surveys
Administration for Native Americans (ANA) 2021 Grantee Meeting Logistics Survey
Administration for Native Americans (ANA) Application Submission Process Feedback Survey
Administration for Native Americans (ANA) Peer Panel Review Surveys
Administration for Native Americans (ANA) Post Peer Panel Review Survey
Adolescent Pregnancy Preventing Training & Technical Assistance	1	Attachment 1-Survey
Adolescent Pregnancy Prevention Program (APP) Grantee Conference Planning Committee Feedback
Adolescent Pregnancy Prevention Training & Technical Assistance 2019 Conference Feedback Surveys
Adolescent Pregnancy Prevention Training & Technical Assistance 2020 Conference Feedback Surveys
Adolescent Pregnancy Prevention Training & Technical Assistance 2021 Conference Feedback Surveys
Audience Research for Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	1, 1, 1	Attachment 1 ,   CTK Parent Consent Form ,   CTK Youth Assent Form
Building Evidence Training (BET) Project Usability Testing
CCDBG Implementation Research and Evaluation Grantee Community of Practice Meeting Evaluation Form
CCDF Administrator Feedback Collection	1	CCDF Administrators
Center for States 2020 Needs Assessment Survey
Center for States Customer Experience Focus Group Guide
Center for States Internal Evaluation: Interviews with Jurisdictions
Center for States Live Chat Survey
Center for States Needs Assessment Focus Group
Center for States Subscription Form
Child Care Development Block Grant (CCDBG) Implementation Research Webinar Feedback Poll
Child Care Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form
Child Care Development Block Grant (CCDBG) National Webinar Feedback Poll
Child Care Policy Research Partnership Community of Practice - Year 1 Customer Comments
Child Care and Development Block Grant (CCDBG) Implementation Research and Evaluation Grantees - Meeting Evaluation Form
Child Care and Development Fund (CCDF) Policies Database Pop-Up Survey of Website Users
Child Welfare Capacity Building Collaborative Customer Feedback for Webinars and Events
Child Welfare Information Gateway Needs Assessment Focus Group Guide
Child Welfare Information Gateway Prevention Resource Guide Tip Sheet Feedback Form
Child Welfare Information Gateway Subscription Form
Child Welfare Information Gateway's Customer Satisfaction Assessment	1	CWIG Customer Satisfaction Assessment Data Collection Instruments
Child Welfare Program Improvement Plan Pilot Evaluation	1, 1, 1, 1	PIPPilot ,   PIPPilot ,   PIPPilot Onsite Feedback Survey ,   PIPPilot PreonsiteFeedbackSurvey
Children's Bureau Grantee Connection Survey
Children's Bureau Grantee Feedback Survey
Children's Bureau Learning & Coordination Center (CBLCC) Participant Satisfaction Survey
Children's Bureau Learning & Coordination Center (CBLCC) Participant Satisfaction Survey - April 2021 Update
Children's Bureau Learning & Coordination Center (CBLCC) Website User Satisfaction Survey
Coaching Companion Questionnaire
Comment Form: Fatherhood Research and Practice Netrwork Learning Community	FRPN Feedback Instrument	FRPN Feedback Instrument
Comment Form: 2018 OPRE Innovative Methods Meeting.
Comment Form: 2019 OPRE Innovative Methods Meeting.
Communities of Practice	1	Communities of Practice
Community Economic Development (CED) Grantee Training Needs Assessment
Community Economic Development (CED) or Rural Community Development (RCD) Grantee Discussion Groups
Community of Practice (CoP) 2021 Virtual Annual Meeting CCDBG Implementation Research and Evaluation Grantee Meeting Evaluation Form
Community-Based Child Abuse Prevention (CBCAP) Participant Feedback Survey
Course Participant Knowledge Gain Assessment and Instructior and Course Participant Experimental Feedback	36, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1	EBPAS-36 ,   Instructior Experience Survey Final ,   Instructor Unit Survey Final ,   Participant Experience Survey Final ,   Unit 1 Post Test Final ,   Unit 2 Post-Test Final ,   Unit 2 Pre-Test Final ,   Unit 3 Post-Test Final ,   Unit 3 Pre-Test Final ,   Unit 4 Post-Test Final ,   Unit 4 Pre--Test Final ,   Unit 5 Post-Test Final ,   Unit 5 Pre-Test Final ,   Unit 6 Post-Test Final ,   Unit 6 Pre-Test Final
ECTTAS Coordination Survey	1	ECTTAS Coordination Survey
Evaluation of Family Violence Prevention and Services Act (FVPSA) Regional Meeting
Evidence Building Academy Midpoint Evaluation Form
Evidence-Building Academy Daily Feedback Forms and Final Evaluation Form
Evidence-Building Academy Participant Project Introduction
Evidence-Building Academy Participant Project Update and Data Visualizations
FY2019 New Capacity Building Center for States Community of Practice: County Administered State Support Interest Survey
Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting
Family Violence Prevention and Services (FVPSA) 2020 Tribal Grantee Meeting
Family and Youth Services Bureau (FYSB) Grantee COVID Survey
Feedback Colection for Peer Leaning	1	Peer Learning
Feedback Related to PDG B-5 Technical Assistance Center Communities of Practice and Workgroups
Feedback Related to PDG B-5 Technical Assistance Center Webinars and Workshops
Feedback Survey for Human Trafficking webinars, online training, online sessions hosted by the Family and Youth Services Bureau
Feedback Survey for Technical and Training Assistance Activities for Family and Youth Services Bureau/ Runaway and Homeless Youth grantees
Feedback Survey for capacity building, grantee, training, online sessions hosted by the Family and Youth Services Bureau
Feedback Survey for the NS2G Learning Community Calls
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2019 Annual Meeting
Feedback from Child Care and Early Education Policy Research Consortium (CCEEPRC) Members on the CCEEPRC 2020 Annual Meeting
Feedback on Child Care and Development Fund Plan for States/Territories for FFY 2019–2021 (ACF–118)
Feedback on Mixed-Delivery System and Service Coordination to Inform Appropriate, Tailored and Timely Technical Assistance
Feedback on National Center on Parent, Family and Community Engagement (NCPFCE) Resources
Feedback on Strategies Related to Opioid Misuse	1	Feedback Form on Strategies Related to Opioid Misuse
Feedback on Webinars for Data Use and General Info for the National Survey of Early Care and Education (NSECE)
Feedback on the Evaluation Goals from the Human Trafficking Youth Prevention Education (HTYPE) Demonstration Program
Feedback on the Provision of Technical Assistance for Personal Responsibility Education Innovative Strategies Program (PREIS) and Tribal PREP (TPREP) Grantees
Feedback related to PDG B-5 TA Center Annual All-Grantee Convening
Feedback related to PDG B-5 Technical Assistance Center Tailored Technical Assistance
Florida Prototype Project Pilot Feedback
Focus Group with Healthy Marriage and Relationship Education (HMRE)	1	SARHM generic OMB
Grant Review Panel Chair Development Training
Grantee Exchange Platform Survey
Grantee Feedback for the FVPSA Formula Grantee Meeting Planning
HSICC Post Phone Call Survey	1	Post Phone Calll Survey
Head Start Management Fellows (HSMF) Program Feedback Surveys
Healthy Marriage and Responsible Fatherhood (HMRF) Training and Technical Assistance (TTA) Grantee Feedback and Needs
Human-Centered Design (HCD) Primer Workshop Feedback Forms
In-Person Convening Child Care Policy Research Partnership - Participant Feedback
In-Person Convening Child Care Policy Research Partnership – Participant Feedback
Infant Toddler Spcialist Infividualized Technical Assistance	1	Infant Toddler Specialist Individualized Technical Assistance
Infant Toddler Specialist Network Training for Trainers (TFT)	1	Traininging for Training
Infant Toddler Specialist Presentation	1	Infant Toddler Specialist Presentations
Information Architecture Testing of the Early Childhood Learning and Knowledge Center	1	ECLKC-tree-jack survey instrument
Input on Key Functions of Early Care and Education Research Connections Website
Leadership Initiative Feedback Surveys
Listening Session Questions on OHS Training and Technical Assistance System
Low Income Home Energy Assistance Program (LIHEAP) 2021 Annual Grantee Virtual Training Conference Feedback Form
Maternal, Infant, and Early Childhood Home Visiting (MEICHV) Continuous Quality Improvement	1	MIECHV
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) All Grantee Meeting (AGM) & Tribal Regional Meetings Feedback Surveys
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey	1	DOHVE 2
Maternal, Infant, and Early Childhood Home Visiting All Grantee & Tribal Regional Meetings Feedback Tools
Missing and Murdered American Indian and Alaska Natives Technical Assistance Presentations Pre- and Post-Surveys
National Center on Early Childhood Health and Wellness (NCECHW) Infoline Feedback Form
National Center on Parent, Family and Community Engagement (PFCE) Standard Training/Technical Assistance Customer Feedback Survey
National Responsible Fatherhood Clearinghouse User Feedback and Content
National Youth in Transition Database (NYTD) Technical Assistance Utilization and Needs Survey
Native American Language Symposium Survey and Sessions Survey
New Director Mentor Program (NDMP) Feedback Surveys
OFA TANF TA Convening Individual Session Assessment	1	OFA Convening Individual Assessment
OFA TANF TA Convening Overall Evaluation Assessment	1	OFA Convening Overall Assessment
OHS TTA Network Training Feedback Form	1	TTA Network Training Feedback
Office of Family Assistance PeerTA website Evaluation and Satisfaction Survey
Office of Refugee Resettlement (ORR) Refugee Programs Training and Technical Assistance Evaluation
Office of Refugee Resettlement Unaccompanied Alien Children (UAC) Path Pre Train-the-Trainer 2021 Survey
Panelist and Chair post review surveys for the Family and Youth Services Bureau (FYSB) Discretionary Grant Programs
Peer-Based Technical Training and Technical Assistance Feedback Collection Activities
Personal Responsibility Education Program (PREP) Grantee Training and Technical Assistance Feedback
Personal Responsibility Education Program (PREP) Grantee Training and Technical Assistance Satisfaction and Needs Assessment
Poll questions for a National Runaway Safeline (NRS) webinar for grantees
Polling questions for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings
Program Management and Fiscal Operations (PMFO) Consulting Initiative (FCI) Feedback Surveys
Program Management and Fiscal Operations (PMFO) Feedback Survey about the General Business Studies Certificate.
Program Management and Fiscal Operations (PMFO) Feedback Surveys
Program Management and Fiscal Operations (PMFO) Hurricane Response and Recovery (HRR) Feedback Survey.
Public Assistance Reporting Information System (PARIS) Training Conference Post Event Survey
Region XII MSHS T/TA Network Technical Assistance Services Delivery Feedback	1	Region-XII-TTA Feedback Form
Region XII Migrant and Seasonal Head Start T/TA Service Deloivery Feedback	1	Service Delivery Feedback Form OHS Region 12
Regional Partnership Grant (RPG) Meeting Evaluation Feedback
Regorous Evaluation Technical Assistance (RETA) Feedback Form	1	RETA-Feedback Form
Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms
Runaway and Homeless Youth (RHY) Program Virtual Town Halls (Interactive Polling Questions)
Runaway and Homeless Youth (RHY) Regional Meeting Evaluation
Runaway and Homeless Youth (RHY) Regional Meeting Evaluation
Runaway and Homeless Youth Program Training and Technical Assistance Center (RHYTTAC) Training and Technical Assistance Event Feedback Form
Scale for Assessing the Attainment of Technical Assistance Outcomes
Screenings 2 Services Challenge: Feedback Survey
Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	1, 1, 1, 1, 1	Attachment 1 Discussion Prompts ,   CTK Parent Consent Form ,   CTK Youth Assent Form ,   Display ,   Youth Assent Form The Hive
Sexual Risk Avoidance (SRA) Social Media Marketing Campaign	1	Social Norms Quiz
Sexual Risk Avoidance Education (SRAE) Grantee Feedback Survey
Sexual Risk Avoidance Education (SRAE) Grantee Needs Assessment
Sexual Risk Avoidance Education (SRAE) Grantee Training and Technical Assistance Satisfaction Survey
Sexual Risk Avoidance Education (SRAE) Grantee Webinar Satisfaction Survey
Sexual Risk Avoidance Education National Evaluation Data Capacity Building Grantee Feedback
Standard Evaluation Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings
Standard Feedback Survey for the National Center for Health, Behavioral Health, and Safety's Training and Technical Assistance Offerings
State Capacity Building Center Feedback Collection for Individualized Technical Assistance
State Capacity Building Center Feedback Collections for CCDF Administrators and for Technical Assistance Partners
State Capacity Building Center Feedback Collections for Communities of Practice and Peer Learning Groups, Training for Trainers, and Fundamentals of CCDF Administration
State Capacity Building Center Feedback Collections for Training and Technical Assistance Web Content, Webinars, and Presentations
State Capacity Building Center Tailored TA Feedback Collection for Impact Project	1	OCC OMB SCBC Task 4 Impact Instrument
State Repatriation Coordinator Feedback
TA Assistance Feedback Collection for Webinars	1	Task 3 Webinars
Tribal Home Visiting Evaluation Institute (TEI) Technical Assistance (TA) Satisfaction Survey
Tribal Home Visiting Technical Assistance Evaluation Feedback and Immediate Feedback Forms
Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Technical Assistance Evaluation (TA) Survey and Immediate Feedback Tool
Usability testing for the "Pathways to Work Evidence Clearinghouse" website
Usability testing for the Pathways to Work Evidence Clearinghouse website
Virtual meeting for soliciting feedback on recruitment and engagement strategies
Web Meetings of Child Care Policy Research Partnership - Participant Feedback
nFORM 2.0 Help Desk Customer Service Feedback Surveys
nFORM Help Desk Customer Service Feedback Surveys

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	50,124	44,124	0	0	6,000	0
Annual Time Burden (Hours)	17,862	17,062	0	0	800	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to the success of this generic mechanism, ACF reached the previously estimated burden amounts just prior to the current expiration date of overarching generic (5/31/2021). Since we will be unable to submit and individual requests under this umbrella generic while the extension request is submitted, we would like the opportunity to submit a few final generic information collections that were already in development. These requests would be submitted immediately, prior to the current expiration date. At this time, ACF would like to request a a nonsubstantive change for a minor burden increase of 800 hours.

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Annual Cost to Federal Government: $1,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/03/2021

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