Information Collection Request

Generic for ACF Program Monitoring Activities

ICR 202310-0970-004 · OMB 0970-0558 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form New Repair queued
Form 1 Office of Head Start Improper Payment Reviews Form New Missing upstream
Form 1 Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction New Missing upstream
Form 1 Office of Grants Management Financial Monitoring Review Form and Instruction New Repair queued
Form M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form New Repair queued
Attachment A - Submission Template for Monitoring Generic _0970-0558.docx Supplementary Document Uploaded 2023-10-05 Repair queued
SSA - ACF Generic for Monitoring - Extension 2023.docx Supporting Statement A Uploaded 2023-10-05 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262710 Office of Refugee Resettlement Services to Afghan Survivors of Combat (SASIC) Program Notification Letter and Pre-Monitoring Questionnaire (PMQ) Other-Questionnaire New
262709 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form New
262708 Office of Refugee Resettlement Refugee Microenterprise Development (MED) Program Pre-Monitoring Questionnaire (PMQ) Other-Questionnaire New
262707 Office of Refugee Resettlement Refugee Career Pathways (RCP) Program Pre-Monitoring Questionnaire (PMQ) Other-Questionnaire New
262706 Office of Refugee Resettlement Refugee Individual Development Accounts (IDA) Program Pre-Monitoring Questionnaire (PMQ) Other-Questionnaire New
262705 Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ) Other-Questionnaire New
262704 Office of Head Start Survey on COVID-19 Mitigation Plan Other-Survey New
262701 Community Services Block Grant (CSBG) Work Plan Template Other-Template New
262700 Office of Head Start Improper Payment Reviews Form New
262696 Office of Refugee Resettlement Monitoring of the Status of Required Licensure for Residential Care Providers Instruction New
262695 Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction New
262694 Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT) Other-Monitoring Tool New
262693 Office of Refugee Resettlement (ORR) Refugee Family Child Care Microenterprise Development (RFCCMED) File Requirements Instruction New
262692 Office of Refugee Resettlement (ORR) Refugee Career Pathways (RCP) Case File Requirements Instruction New
262684 Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements Instruction New
262682 Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements Instruction New
262680 Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements Instruction New
262678 Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements Instruction New
262675 Office of Grants Management Financial Monitoring Review Form and Instruction New
262670 Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet Other-Monitoring Packet New
262669 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 11/30/2023
6,197 4,500
48,000 45,000
0 2,184,300





Reginfo record details
21
table that charts list of burden
IC Title Form No. Form Name
Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving UC
Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet
Community Services Block Grant (CSBG) Work Plan Template
Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast 1 LIHWAP Forecast
Office of Grants Management Financial Monitoring Review 1 Document Request List
Office of Head Start Improper Payment Reviews 1 Payment Management Reconciliation Instrument
Office of Head Start Survey on COVID-19 Mitigation Plan
Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements
Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements
Office of Refugee Resettlement (ORR) Refugee Career Pathways (RCP) Case File Requirements
Office of Refugee Resettlement (ORR) Refugee Family Child Care Microenterprise Development (RFCCMED) File Requirements
Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements
Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements
Office of Refugee Resettlement Ethnic Community Self-Help (ECSH) Program Pre-Monitoring Questionnaire (PMQ)
Office of Refugee Resettlement Monitoring of the Status of Required Licensure for Residential Care Providers
Office of Refugee Resettlement Refugee Career Pathways (RCP) Program Pre-Monitoring Questionnaire (PMQ)
Office of Refugee Resettlement Refugee Individual Development Accounts (IDA) Program Pre-Monitoring Questionnaire (PMQ)
Office of Refugee Resettlement Refugee Microenterprise Development (MED) Program Pre-Monitoring Questionnaire (PMQ)
Office of Refugee Resettlement Services to Afghan Survivors of Combat (SASIC) Program Notification Letter and Pre-Monitoring Questionnaire (PMQ)
Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT)
Survivors of Torture Integrated Care Continuum (SOT-ICC) 1 Survivors of Torture (SOT) Integrated Care Continuum (ICC)

table that charts list of burden
  Total Request 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 6,197 4,500 0 1,697 0 0
Annual Time Burden (Hours) 48,000 45,000 0 3,000 0 0
Annual Cost Burden (Dollars) 0 2,184,300 0 -2,184,300 0 0


Reginfo record details
  No