Information Collection

Family Self-Sufficiency Demonstration Development Grants Evaluation Support

IC 250831 under ICR 202310-0970-008 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1_FSSDD Discussion Guide.docx	Other-Discussion guide
SSA_Formative ACF Research Generic_FSSDD_tosubmit.docx SSA - Formative GenIC Research: FSSDD GES	IC Document
SSB_Formative ACF Research Generic_FSSDD_tosubmit.docx SSB - Formative GenIC Research: FSSDD GES	IC Document

IC Title:

Family Self-Sufficiency Demonstration Development Grants Evaluation Support

Agency IC Tracking Number:

OPRE

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-Discussion guide			Instrument 1_FSSDD Discussion Guide.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Formative GenIC Research: FSSDD GES	SSA_Formative ACF Research Generic_FSSDD_tosubmit.docx	12/17/2021
SSB - Formative GenIC Research: FSSDD GES	SSB_Formative ACF Research Generic_FSSDD_tosubmit.docx	12/17/2021

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