Diaper Distribution Demonstration and Research Pilot Baseline Data Collection

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Instrument 2 - Partner Organization Interview_11.22.22.docx Other-Interview Protocol
Instrument 2 - Partner Organization Interview_11.22.22.docx Other-Interview Protocol
Instrument 3 - Waitlist Survey_11.22.22.docx Other-Survey
Instrument 3 - Waitlist Survey_11.22.22.docx Other-Survey
Instrument 1 - Beneficiary Enrollment Survey_12.12.22_fnl Clean.docx Other-Survey
Instrument 1 - Beneficiary Enrollment Survey_12.12.22_fnl Clean.docx Other-Survey
SSA - Formative for ACF Program Support_DDRP_11.22.22.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
SSA - Formative for ACF Program Support_DDRP_11.22.22.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document

Information Collection (IC) Details

IC Title:	Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Agency IC Tracking Number:	OCS

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Protocol	Instrument 2 - Partner Organization Interview_11.22.22.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instrument 3 - Waitlist Survey_11.22.22.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instrument 1 - Beneficiary Enrollment Survey_12.12.22_fnl Clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 980	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	980	980
Annual IC Time Burden (Hours)	221	221
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp	SSA - Formative for ACF Program Support_DDRP_11.22.22.docx	11/23/2022
SSB - DDDRP Formative GenIC Prog Supp	SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx	11/23/2022
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx	12/12/2022

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