Formative Data Collections for ACF Program Support

Forms and Documents

Document	Type	Status	Availability
NonSub Change Request - Formative Generic for Program Support_0970-0531.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-06-22	Available
OMB Change Req - Desc -2022-03-15.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-05-03	Repair queued
NonSub Change Request_LBS Token of Appreciation_4.28.22.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-05-03	Available
NonSub Change Request.02.07.22.CRRSA question_FIN.CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-02-18	Repair queued
NonSub Change Request NCECDTL Standard Feedback Survey 12-29-21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-01-06	Available
NonSub Change Request_RHYTTAC_8.4.21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-08-04	Repair queued
NonSub Change Request SIRF Learning Cycle_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-07-06	Available
NonSub Change Request Memo_SIMR May 2021_revised_clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-05-27	Available
ADMIN_LIHWAP Survey_NonSub Change Request_040921.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-04-13	Repair queued
Attachment B - Ongoing Burden 0970-0531.docx	Supplementary Document	Uploaded 2020-12-28	Available
Attachment A - Formative Usage Report 0970-0531.docx	Supplementary Document	Uploaded 2020-12-23	Available
Formative Data Collections for Program Support SSB_Revision 2020.docx	Supporting Statement B	Uploaded 2020-12-23	Repair queued
Formative Data Collections for Program Support SSA_Nonsub 2022.docx	Supporting Statement A	Uploaded 2022-06-22	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
254081	Tribal Home Visiting Continuous Quality Improvement Collaboratives	Other-Template	Unchanged
254033	Office of Family Assistance Training and Technical Assistance (TTA)	Other-	Unchanged
254016	Family Economic Mobility (FEM) Training and Technical Assistance Feedback	Other-Feedback survey	Unchanged
254013	Multi-Site Study of State-Tribal Collaboration in Home Visiting	Other-Interview Protocol	Unchanged
253889	Comprehensive Community Services Block Grant (CSBG) Training and Technical Assistance (T/TA) Needs Assessment	Other-Survey	Unchanged
253869	Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment	Other-Survey	Unchanged
253809	ACF American Rescue Plan Tribal Learning Collaborative: Leveraging Grant Flexibilities and Promoting Innovation in Pandemic Recovery	Other-Facilitator Guide	Unchanged
253575	Administration for Children and Families External Speaker Request Form	Other-online form	Unchanged
253281	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages - Informs	Other-Guide	Unchanged
253035	Tribal Early Learning Initiative (TELI) Statement of Interest	Other-	Unchanged
252950	ACF Evidence Capacity Support: Survey of Survivors of Torture Grantees	Other-Survey	Unchanged
252746	Feedback on Family Violence Prevention and Services Act (FVPSA) American Rescue Plan (ARP) Financial Grants Management Training	Other-Survey	Unchanged
252712	Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project	Other-Fidelity Log	Unchanged
252680	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage	Other-Discussion Guide	Unchanged
252635	Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report	Other-Survey	Unchanged
252308	Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey	Other-Discussion Qs	Unchanged
252246	Feedback on U.S. Repatriation Program Implementation and Services	Other-Repatriate Survey	Unchanged
252245	ACF Privacy and Confidentiality Toolkit Case Studies - Updated March 2022	Other-Questionnaire	Unchanged
252236	Operation Allies Welcome (OAW) Survey of Resettled Afghans	Other-Survey	Unchanged
252036	Feedback from Head Start (HS) American Indian and Alaska Native (AIAN) Self-Review	Other-Interview Protocol	Unchanged
251962	Afghan Arrivals Influx Assessment Guides	Other-Client Focus Group Guide	Unchanged
251897	Personal Responsibility Education Program (PREP) Local Evaluation Support	Other-Template	Unchanged
251852	Survey to Inform Office of Head Start Data Collection Activities and Training and Technical Assistance	Other-Survey	Unchanged
251809	Look Beneath the Surface (LBS) Campaign Stakeholder Feedback Interviews	Other-Interview Script	Unchanged
251413	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies	Other-Discussion Guide	Unchanged
251382	Virtual Home Visiting Roundtable Discussions	Other-Discussion Guide	Unchanged
251367	Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System	Other-Interview Protocol	Unchanged
250736	Family Violence Prevention and Services Act Resource Center Grantee Feedback Questions for Virtual Listening Sessions	Other-Listening Session Qs	Unchanged
250618	Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients	Other-Template	Unchanged
250451	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds	Other-Child Care Stabilization Grants: Interviewer Guide (Attach	Unchanged
250328	Engaging Young People With Lived Experience in the Child and Family Services Review (CFSR) Process	Other-Focus Group Guides	Unchanged
250100	Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase	Other-Survey	Unchanged
249483	Sexual Risk Avoidance Education Grantee COVID-19 Interviews	Other-Interview Protocol	Unchanged
249326	Next Generation of Enhanced Employment Strategies Project - MOMS Partnership	Other-Survey	Unchanged
248467	Florida Domestic Violence State Coalition Community Stakeholder Feedback (Virtual Town Halls and Online Survey)	Other-Discussion and Survey Questions	Unchanged
248394	Information to Inform the Immediate Office of the Assistant Secretary about implementation of the American Rescue Plan Act	Other-Discussion Qs	Unchanged
248368	Unaccompanied Children Licensed Provider Engagement for External Recruiting Efforts	Other-Survey	Unchanged
248344	Needs Assessment Listening Sessions for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Protocol	Unchanged
248283	Tribal Continuous Quality Improvement Collaboratives Process Study	Other-Survey	Unchanged
248282	July 2021 Head Start Survey – Transitioning to In-Person Service Delivery	Other-Survey	Unchanged
248281	ACF Data Governance Consulting & Support Project	Other-Interview Protocol	Unchanged
248073	Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment	Other-Survey	Unchanged
248040	Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Survey Item Bank	Unchanged
247511	Youth Survey of Relationships, Education, and Behavior	Other-Survey	Unchanged
247037	Information to Inform the Office of Child Care about Implementation of Child Care Stabilization Grants	Other-Interview protocols	Unchanged
246959	Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)	Other-Instrument #1: SIRF Observation	Unchanged
246660	Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)	Other-Instrument #1: SIRF Observation	Unchanged
246360	Low Income Household Water Assistance Program (LIHWAP) Program Development	Other-Survey	Unchanged
246175	Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys	Other-Survey	Unchanged
246089	Strengthening the Implementation of Marriage and Relationship Programs (SIMR)	Other-Survey	Unchanged
245924	Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment	Other-Needs Assessment	Unchanged
245832	Voices of Freedom	Other-Guiding Questions	Unchanged
245651	Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)	Other-Report Template	Unchanged
245107	Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template	Other-Template	Unchanged
245106	Supporting Partnerships to Advance Research and Knowledge (Project SPARK)	Other-survey	Unchanged
245105	Fathers and Continuous Learning in Child Welfare Project	Other-Other-Improvement Team Group Interview	Unchanged
245104	Office of Early Childhood Development Radical Family Engagement National Stakeholder Meeting	Other-Other-Semi-structured discussion questions	Unchanged
245103	Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections	Other-Other-Parent Screener Script	Unchanged
245102	Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - MARCH 2020	Other-Other-PREIS Impact Analysis Plan Template	Unchanged
245101	Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - OCTOBER 2020	Other-Other-Impact CONSORT Diagram Template	Unchanged
245100	Communications Focus Groups for Remaking the Safety Net	Other-Other-Beneficiaries Online Screener	Unchanged
245099	OFA Training and Technical Assistance (TTA)	Other-Grantee Characteristics Form	Unchanged
245097	Using Concept Mapping to Develop a Theory to Describe the Work of the National Domestic Violence Hotline with Family and Friends of Victims/Survivors – Formative Data Collection	Other-Online GCM Directions	Unchanged
245095	Survey of Higher Education Instructors to Support the Development of Teaching Materials Based on OPRE's Research and Evaluation	Other-Survey	Unchanged
245093	Tribal Continuous Quality Improvement Collaboratives	Instruction	Unchanged
245092	Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates	Other-Template	Unchanged
245091	Feedback on Materials for Father Involvement National Media Campaign	Other-Screener: Experts	Unchanged
245090	Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care	Other-Discussion Protocol	Unchanged
245011	State Department of Education Contacts Form	Other-	Unchanged

ICR Details

OMB Control No: 0970-0531	ICR Reference No: 202206-0970-010
Status: Active	Previous ICR Reference No: 202205-0970-001
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Formative Data Collections for ACF Program Support
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: 06/23/2022
	Date Received in OIRA: 06/23/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	07/31/2022	07/31/2022
Responses	26,283	0	26,103
Time Burden (Hours)	30,285	0	29,985
Cost Burden (Dollars)	521,249	0	521,249

---

Abstract: The Formative Data Collections for ACF Program Support generic was created to allow ACF program offices learn more about program services, including program or grantee processes and needs in an effort to improve ACF decision-making and program support. The generic was approved as a new overarching generic in July 2019. Since approval, ACF program offices have found the generic to be very useful and there was a higher than originally estimated demand to submit generic information collection requests. While we adjusted burden estimates in 2020, we are still learning and adjusting. Some of the high demand has been due to the unforeseen and unprecedented situation created by the COVID-19 pandemic, including extraordinary increases in funding and related new programming. This umbrella generic has proved very useful for program offices to collect formative information about what programs and grantees are doing in response to the pandemic and to identify needs. This includes gathering feedback from grantees about spending down new funding and implementing new programs. This umbrella generic has also continued to be particularly useful for informing ACF technical assistance, developing support efforts and resources, and informing ACF programming and research efforts. The current approval for this umbrella generic expires July 31, 2022. The 60-day comment period related to this extension request began on January 28, 2022 (87 FR 4603) and no comments were received. We intend to submit the request as soon as possible once review is completed of all pending individual generic information collections. We do, however have one final request that is developed and ready to submit for which we do not have enough burden left under the umbrella generic. For that reason, we are currently requesting a nonsubstantive change for a minor burden increase to allow for the submission of the final individual generic so data collection can begin and stay within contract and related timelines for funding.

---

Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act, SEC. 1110
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 64480	10/13/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 84343	12/28/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 69

IC Title	Form No.	Form Name
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - OCTOBER 2020
ACF American Rescue Plan Tribal Learning Collaborative: Leveraging Grant Flexibilities and Promoting Innovation in Pandemic Recovery
ACF Data Governance Consulting & Support Project
ACF Evidence Capacity Support: Survey of Survivors of Torture Grantees
ACF Privacy and Confidentiality Toolkit Case Studies - Updated March 2022
Administration for Children and Families External Speaker Request Form
Afghan Arrivals Influx Assessment Guides
Building Capacity to Evaluate Child Welfare Community Collaborations to Strengthen and Preserve Families (CWCC) Grantee Local Evaluation Plan and Implementation Plan Templates
Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP)
Communications Focus Groups for Remaking the Safety Net
Comprehensive Community Services Block Grant (CSBG) Training and Technical Assistance (T/TA) Needs Assessment
Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project
Engaging Young People With Lived Experience in the Child and Family Services Review (CFSR) Process
Family Economic Mobility (FEM) Training and Technical Assistance Feedback
Family Violence Prevention and Services Act Resource Center Grantee Feedback Questions for Virtual Listening Sessions
Fathers and Continuous Learning in Child Welfare Project
Feedback from Head Start (HS) American Indian and Alaska Native (AIAN) Self-Review
Feedback on Family Violence Prevention and Services Act (FVPSA) American Rescue Plan (ARP) Financial Grants Management Training
Feedback on Materials for Father Involvement National Media Campaign
Feedback on U.S. Repatriation Program Implementation and Services
Florida Domestic Violence State Coalition Community Stakeholder Feedback (Virtual Town Halls and Online Survey)
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template
Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys
Information to Inform the Immediate Office of the Assistant Secretary about implementation of the American Rescue Plan Act
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages - Informs
Information to Inform the Office of Child Care about Implementation of Child Care Stabilization Grants
July 2021 Head Start Survey – Transitioning to In-Person Service Delivery
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - MARCH 2020
Look Beneath the Surface (LBS) Campaign Stakeholder Feedback Interviews
Low Income Household Water Assistance Program (LIHWAP) Program Development
Multi-Site Study of State-Tribal Collaboration in Home Visiting
Needs Assessment Listening Sessions for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
Next Generation of Enhanced Employment Strategies Project - MOMS Partnership
OFA Training and Technical Assistance (TTA)
Office of Early Childhood Development Radical Family Engagement National Stakeholder Meeting
Office of Family Assistance Training and Technical Assistance (TTA)
Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report
Operation Allies Welcome (OAW) Survey of Resettled Afghans
Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey
Personal Responsibility Education Program (PREP) Local Evaluation Support
Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients
Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment
Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment
Sexual Risk Avoidance Education Grantee COVID-19 Interviews
Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase
Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
State Department of Education Contacts Form
Strengthening the Implementation of Marriage and Relationship Programs (SIMR)
Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)
Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)
Supporting Partnerships to Advance Research and Knowledge (Project SPARK)
Supporting Working Families: ACF Roundtables on Improving Access to High-Quality Child Care
Survey of Higher Education Instructors to Support the Development of Teaching Materials Based on OPRE's Research and Evaluation
Survey to Inform Office of Head Start Data Collection Activities and Training and Technical Assistance
Tribal Continuous Quality Improvement Collaboratives
Tribal Continuous Quality Improvement Collaboratives Process Study
Tribal Early Learning Initiative (TELI) Statement of Interest
Tribal Home Visiting Continuous Quality Improvement Collaboratives
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment
Unaccompanied Children Licensed Provider Engagement for External Recruiting Efforts
Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System
Using Concept Mapping to Develop a Theory to Describe the Work of the National Domestic Violence Hotline with Family and Friends of Victims/Survivors – Formative Data Collection
Virtual Home Visiting Roundtable Discussions
Voices of Freedom
Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections
Youth Survey of Relationships, Education, and Behavior

---

ICR Summary 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	26,283	26,103	0	180	0	0
Annual Time Burden (Hours)	30,285	29,985	0	300	0	0
Annual Cost Burden (Dollars)	521,249	521,249	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The current approval for this umbrella generic expires July 31, 2022. The 60-day comment period related to this extension request began on January 28, 2022 (87 FR 4603) and no comments were received. We intend to submit the request as soon as possible once review is completed of all pending individual generic information collections. We do, however have one final request that is developed and ready to submit for which we do not have enough burden left under the umbrella generic. For that reason, we are currently requesting a nonsubstantive change for a minor burden increase to allow for the submission of the final individual generic so data collection can begin and stay within contract and related timelines for funding. We are requesting an interim increase in burden of 300 hours. This amount is based on ACF’s submission of one additional individual generic clearance.

---

Annual Cost to Federal Government: $100,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     Yes

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? Yes

---

Common Form ICR:  No

---

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: 06/23/2022

---