Information Collection

Look Beneath the Surface (LBS) Campaign Stakeholder Feedback Interviews

IC 251809 under ICR 202206-0970-010 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Government Employees, Contractors, Grantees Interview Guide.docx	Other-Interview Script
Attachment B_Professional Service Provider Audiences Interview Guide_cln.docx	Other-Interview Script
ACF OTIP_LBS_Formative Generic for Program Support_4.28.22.docx Supporting Statement A	IC Document
SSB - ACF OTIP_LBS_Formative Generic for Program Support_4.1.22_Clean.docx Supporting Statement B	IC Document
NonSub Change Request_LBS Token of Appreciation_4.28.22.docx NonSub Change - OTIP LBS Interviews - Token of Appreciation	IC Document

IC Title:

Look Beneath the Surface (LBS) Campaign Stakeholder Feedback Interviews

Agency IC Tracking Number:

OTIP

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Script			Attachment A_Government Employees, Contractors, Grantees Interview Guide.docx		No		Paper Only
Other-Interview Script			Attachment B_Professional Service Provider Audiences Interview Guide_cln.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: 77

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	77	77
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A	ACF OTIP_LBS_Formative Generic for Program Support_4.28.22.docx	05/03/2022
Supporting Statement B	SSB - ACF OTIP_LBS_Formative Generic for Program Support_4.1.22_Clean.docx	04/04/2022
NonSub Change - OTIP LBS Interviews - Token of Appreciation	NonSub Change Request_LBS Token of Appreciation_4.28.22.docx	05/03/2022

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