Formative Data Collections for ACF Program Support

Forms and Documents

Document	Type	Status	Availability
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Available
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Repair queued
Change Request - OSHEPR Climate Change GenIC.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-13	Repair queued
Change Request - OSHEPR Climate Change GenIC.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-13	Repair queued
Change Request ARP_OCC_12-14-2022_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-02-08	Repair queued
Change Request ARP_OCC_12-14-2022_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-02-08	Repair queued
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-12-12	Repair queued
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-12-12	Repair queued
Attachment B - Ongoing Burden 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Available
Attachment B - Ongoing Burden 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Repair queued
Attachment A - Formative Usage Report 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Available
Attachment A - Formative Usage Report 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Repair queued
Formative Data Collections for Program Support SSB_Revision 2022_July 2022.docx	Supporting Statement B	Uploaded 2022-07-12	Available
Formative Data Collections for Program Support SSB_Revision 2022_July 2022.docx	Supporting Statement B	Uploaded 2022-07-12	Repair queued
Formative Data Collections for Program Support SSA_Revision 2022_final Sept 2022.docx	Supporting Statement A	Uploaded 2022-09-01	Available
Formative Data Collections for Program Support SSA_Revision 2022_final Sept 2022.docx	Supporting Statement A	Uploaded 2022-09-01	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
261091	Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey	Other-survey	Unchanged
260739	Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support	Other-Survey	Unchanged
260714	Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment	Other-Survey	Unchanged
260601	The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Professional Partner Groups	Other-Selection Surveys	Unchanged
260313	The Adulthood Preparation Subjects (APSs) Study of Dosage and Cultural Relevance	Other-Interview Guide	Unchanged
260282	Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment	Other-survey	Unchanged
260203	ACF Optional-Use Data Sharing Request Form	Other-	Unchanged
259778	Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment	Other-Survey	Unchanged
259195	ORR - Resource Guides for Discretionary Grant Programs Division of Refugee Services (DRS)	Other-Questionnaire	Unchanged
259011	Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response	Other-Focus Group Script: State Human Services Programs	Unchanged
258808	United for Ukraine	Other-Survey	Unchanged
258671	Community Injects Related to Local Environmental Justice and Climate Change Impacts	Other-Instrument 1: Interview Script	Unchanged
258670	TANF and Child Support Moving Forward: Further Incorporating Family Input	Other-Instrument 1: Expression of Interest Form	Unchanged
258669	Feedback from CLASS Video Pilot	Other-Survey	Unchanged
258666	ACF Behavioral Health Survey	Other-Survey	Unchanged
258664	Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey	Other-Survey	Unchanged
258647	Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research	Other-Survey	Unchanged
257094	Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Other-Interview Protocol	Modified
257039	Title IV-E Tribal-State Agreement Evaluation	Other-Survey	Unchanged
257036	Humanitarian Response Operating Plan Listening Sessions	Other-Listening Sessions Protocol	Unchanged
256293	Court Improvement Program Court System Structures	Other-Instrument 1: CIP Survey for Court System Structures	Unchanged
256222	TANF and Child Support Moving Forward: Lessons Learned from the COVID-19 Pandemic	Other-Questionnaire	Unchanged
254590	Services for Survivors of Torture Medical Care Survey	Other-Survey	Unchanged
254589	HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)	Other-Focus Group Protocol	Unchanged
254588	Tribal Home Visiting Continuous Quality Improvement Collaboratives	Other-template	Unchanged
254587	Multi-Site Study of State-Tribal Collaboration in Home Visiting	Other-Interview Protocol	Unchanged
254586	Family Economic Mobility (FEM) Training and Technical Assistance Feedback	Other-Feedback survey	Unchanged
254583	Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey	Other-Interview Qs	Unchanged
254582	Tribal Early Learning Initiative (TELI) Statement of Interest	Other-Statement of Interest	Unchanged
254581	Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report	Other-Survey	Unchanged
254573	Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project	Other-Fidelity Log	Unchanged
254570	Administration for Children and Families External Speaker Request Form	Other-Request Form	Unchanged
254568	Strengthening the Implementation of Marriage and Relationship Programs (SIMR)	Other-Survey	Unchanged
254562	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	Other-Interview Guide	Unchanged
254560	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-Interview Guide	Unchanged
254559	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage	Other-Interview Guide	Unchanged
254557	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update	Other-Child Care Stabilization Grants: Interviewer Guide (Attach	Unchanged
254556	Personal Responsibility Education Program (PREP) Local Evaluation Support	Other-Template	Unchanged
254554	OFA Training and Technical Assistance (TTA)	Other-	Unchanged
254553	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
254552	Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase	Other-Survey	Unchanged
254551	Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients	Other-Template	Unchanged
254550	Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - (PREIS and TPREP templates)	Other-Template	Unchanged
254549	Next Generation of Enhanced Employment Strategies Project - MOMS Partnership	Other-Survey	Unchanged
254548	ACF Privacy and Confidentiality Toolkit Case Studies	Other-Survey	Unchanged
254547	Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Survey Bank Items	Unchanged
254541	Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys	Other-Survey	Unchanged
254540	Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment	Other-Survey	Unchanged
254539	Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)	Other-Template	Unchanged
254537	Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections	Other-Screener	Unchanged
254531	Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)	Other-observation tool	Unchanged
254529	Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)	Other-template	Unchanged

ICR Details

OMB Control No: 0970-0531	ICR Reference No: 202307-0970-010
Status: Active	Previous ICR Reference No: 202306-0970-006
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: 07/27/2023
	Date Received in OIRA: 07/24/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	09/30/2025	09/30/2025
Responses	44,913	0	44,913
Time Burden (Hours)	54,152	0	54,152
Cost Burden (Dollars)	1,082,970	0	1,082,970

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Abstract: The Formative Data Collections for Administration for Children and Families (ACF) Program Support generic was created to allow ACF program offices to learn more about program-related services, including processes and needs of funded programs or grantees, those served by ACF programs, or others experienced with or interested in ACF programs. The goal is to improve ACF decision-making, program support, and support for or relationships with those with interest in ACF programs. The generic was approved as a new overarching generic in July 2019. In December 2020, ACF submitted a change request to increase burden estimates due to a higher than estimated demand to submit generic information collection requests. The higher demand was due in part to this being a new generic and ACF not having specific historical information to base estimates on, but also due to the unforeseen and unprecedented situation created by the COVID-19 pandemic. The Formative Data Collections for ACF Program Support 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 so that appropriate support can be provided.

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

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:
	87 FR 4603	01/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 41723	07/13/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 52

IC Title	Form No.	Form Name
ACF Behavioral Health Survey
ACF Optional-Use Data Sharing Request Form
ACF Privacy and Confidentiality Toolkit Case Studies
Administration for Children and Families External Speaker Request Form
Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment
Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)
Community Injects Related to Local Environmental Justice and Climate Change Impacts
Court Improvement Program Court System Structures
Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project
Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection
Family Economic Mobility (FEM) Training and Technical Assistance Feedback
Feedback from CLASS Video Pilot
Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response
Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey
Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support
HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)
Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys
Humanitarian Response Operating Plan Listening Sessions
Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update
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
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - (PREIS and TPREP templates)
Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research
Multi-Site Study of State-Tribal Collaboration in Home Visiting
Next Generation of Enhanced Employment Strategies Project - MOMS Partnership
OFA Training and Technical Assistance (TTA)
ORR - Resource Guides for Discretionary Grant Programs Division of Refugee Services (DRS)
Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report
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
Services for Survivors of Torture Medical Care Survey
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
Strengthening the Implementation of Marriage and Relationship Programs (SIMR)
Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)
TANF and Child Support Moving Forward: Further Incorporating Family Input
TANF and Child Support Moving Forward: Lessons Learned from the COVID-19 Pandemic
The Adulthood Preparation Subjects (APSs) Study of Dosage and Cultural Relevance
The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Professional Partner Groups
Title IV-E Tribal-State Agreement Evaluation
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
United for Ukraine
Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System
Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

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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	44,913	44,913	0	0	0	0
Annual Time Burden (Hours)	54,152	54,152	0	0	0	0
Annual Cost Burden (Dollars)	1,082,970	1,082,970	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: This request is to extend approval of this overarching generic (OMB #0970-0531) to allow ACF to continue to collect information as described in this supporting statement. The increased estimated burden is based on experiences to date, including the use since initial approval as well as consultation with program office staff and research contractors with whom we have partnered.

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Annual Cost to Federal Government: $175,000

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? 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: 07/24/2023

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