Information Collection Request

Generic for ACF Program Monitoring Activities

ICR 202306-0970-012 · OMB 0970-0558 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0558 can be found here:

2026-04-09 - No material or nonsubstantive change to a currently approved collection
2026-04-07 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Form 1 Office of Head Start Improper Payment Reviews – Update 2023	Form	Unchanged	Repair queued
Form 1 Office of Head Start Improper Payment Reviews – Update 2023	Form	Unchanged	Repair queued
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form	Unchanged	Repair queued
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form	Unchanged	Repair queued
Form 1 Survivors of Torture Integrated Care Continuum (SOT-ICC)	Form and Instruction	Unchanged	Available
Form 1 Survivors of Torture Integrated Care Continuum (SOT-ICC)	Form and Instruction	Unchanged	Repair queued
Form M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children	Form	Unchanged	Repair queued
Form M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children	Form	Unchanged	Missing upstream
Form M-11P Office of Refugee Resettlement's Staff Questionnaire - Interpreter	Form	Unchanged	Available
Form M-11P Office of Refugee Resettlement's Staff Questionnaire - Interpreter	Form	Unchanged	Repair queued
Form 1 Office of Head Start Disaster Recovery Improper Payment Reviews	Form	Unchanged	Repair queued
Form 1 Office of Head Start Disaster Recovery Improper Payment Reviews	Form	Unchanged	Repair queued
Form 1 Office of Grants Management Financial Monitoring Review	Form and Instruction	Unchanged	Available
Form 1 Office of Grants Management Financial Monitoring Review	Form and Instruction	Unchanged	Repair queued
Change Request ECSH 6_23 updated_cln.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-27	Repair queued
Change Request ECSH 6_23 updated_cln.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-27	Repair queued
Change Request - ORR PSA Data Collection_Monitoring GenIC_6.5.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-05	Available
Change Request - ORR PSA Data Collection_Monitoring GenIC_6.5.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-05	Repair queued
Change Request RFCCMED 4 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-24	Available
Change Request RFCCMED 4 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-24	Repair queued
Change Request RCP 4 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-19	Repair queued
Change Request RCP 4 23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-19	Repair queued
GenIC Example - Monitoring Activities - Regulation compliance.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
GenIC Example - Monitoring Activities - Regulation compliance.docx	Supplementary Document	Uploaded 2020-09-10	Missing upstream
GenIC Example - Monitoring Activities - Document Submission.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
GenIC Example - Monitoring Activities - Document Submission.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
GenIC Example - Monitoring Activities - Daily Activities.docx	Supplementary Document	Uploaded 2020-09-10	Available
GenIC Example - Monitoring Activities - Daily Activities.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
GenIC Example - Monitoring Activities - Assessment Survey.docx	Supplementary Document	Uploaded 2020-09-10	Available
GenIC Example - Monitoring Activities - Assessment Survey.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
Submission Template for Monitoring Generic _7.3.20.docx	Supplementary Document	Uploaded 2020-09-10	Available
Submission Template for Monitoring Generic _7.3.20.docx	Supplementary Document	Uploaded 2020-09-10	Repair queued
SSA - ACF Generic for Monitoring - Final.docx	Supporting Statement A	Uploaded 2020-09-10	Available
SSA - ACF Generic for Monitoring - Final.docx	Supporting Statement A	Uploaded 2020-09-10	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
260914	Office of Head Start Survey on COVID-19 Mitigation Plan	Other-Survey	New
260658	Community Services Block Grant (CSBG) Work Plan Template	Other-Template	Unchanged
259658	Office of Head Start Improper Payment Reviews – Update 2023	Form	Unchanged
259658	Office of Head Start Improper Payment Reviews – Update 2023	Form	Unchanged
257727	Monitoring the Status of Required Licensure	Other-Instructions	Unchanged
256922	Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form	Unchanged
256922	Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast	Form	Unchanged
256016	Survivors of Torture Integrated Care Continuum (SOT-ICC)	Form and Instruction	Unchanged
256016	Survivors of Torture Integrated Care Continuum (SOT-ICC)	Form and Instruction	Unchanged
255384	Office of Head Start Survey on Background Checks and Staffing	Other-Survey	Unchanged
254691	Low Income Household Water Assistance Program (LIHWAP) Tribal Implementation Check-In	Other-Interview Qs	Unchanged
254180	Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements	Instruction	Modified
252566	Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements	Instruction	Unchanged
252558	Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements	Instruction	Unchanged
252424	Office of Refugee Resettlement Refugee Family Child Care Microenterprise Development File Requirements	Instruction	Unchanged
252423	Office of Refugee Resettlement Refugee Career Pathways Case File Requirements	Instruction	Unchanged
252410	Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements	Instruction	Unchanged
251144	Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children	Form	Unchanged
251144	Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children	Form	Unchanged
250729	Office of Refugee Resettlement's Staff Questionnaire - Interpreter	Form	Unchanged
250729	Office of Refugee Resettlement's Staff Questionnaire - Interpreter	Form	Unchanged
249725	Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT)	Other-Monitoring Tool	Unchanged
249675	Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet	Other-Monitoring Packet	Unchanged
248146	Office of Refugee Resettlement Waiver Request Form	Other-Request Form	Unchanged
248125	Office of Refugee Resettlement Key Personnel Minimum Qualification Checklist and Attestation	Other-Checklist	Unchanged
245964	Office of Head Start Disaster Recovery Improper Payment Reviews	Form	Unchanged
245964	Office of Head Start Disaster Recovery Improper Payment Reviews	Form	Unchanged
244986	Office of Grants Management Financial Monitoring Review	Form and Instruction	Unchanged
244986	Office of Grants Management Financial Monitoring Review	Form and Instruction	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0558
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202306-0970-002
Date Submitted to OIRA	2023-06-27
Requested Expiration Date	1969-12-31