Diaper Distribution Demonstration and Research Pilot
Partner Organizations Data Infrastructure Survey
PAPERWORK
REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT
OF PUBLIC BURDEN: The
purpose of this information collection is to understand the
information collected by ACF grant recipients and their partners.
This information will inform technical assistance and evaluation
activities. Public reporting burden for this collection of
information is estimated to average 30 minutes per respondent,
including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of
information. This
is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information subject to the requirements
of the Paperwork Reduction Act of 1995, unless it displays a
currently valid OMB control number. The OMB # is 0970-0531and the
expiration date is 09/30/2025. If
you have any comments on this collection of information, please
contact Nicole Deterding at [email protected]
Outside of DDDRP, does your organization distribute diapers and/or diapering supplies? Yes/No
[If 1== no, skip to 3]
[If 1== yes] Outside of DDRP, how does your organization collect information about the people receiving diapers or diapering supplies?
We only collect overall counts of people, families, or the diapering supplies we distribute
We collect more than overall counts. We collect the following information about people receiving diapers or diapering services:
Information that identifies individuals |
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Demographic information |
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What non-diaper services does your organization currently offer?
Type of Service |
Within this organization |
Via external referral |
Not Offered |
Unknown |
Employment Services |
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Education and Cognitive Development Services |
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Income and Asset Building Services |
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Housing Services |
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Health and Social/Behavioral Development Services |
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Civic Engagement and Community Involvement Services |
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At your
organization, are multiple customer needs assessed using a single
intake process? Yes/No
Is diaper
need currently assessed at the time you assess need for other
services? Yes/No
Does your organization’s main data system currently include the following information:
(a) Information that identifies individuals |
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(b) Demographic information |
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(d) The services that individuals or households receive |
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(7) If your organization currently stores client, assessment, or service information in more than one data system, please describe. (text)
(8) How often
does your organization face the following challenges with data
collection and reporting?
(1= not at all, 2= some of the
time, 3= regularly 0= unsure)
Inadequate technology to collect and/or report data
Inadequate training for staff or volunteers doing data entry
Insufficient staff time for data reporting
Known data quality challenges, such as incomplete or inaccurate records
Coordinating client information across the services they receive
Other
(please describe)
(9) Do you currently anticipate any challenges for data collection under DDDRP? Please explain.
For example: are there data elements or data collection methods that are a consistent challenge for you and/or your partners? Are there particular types of questions that would be difficult for you to collect information on given your current data infrastructure?
(10) Please provide contact information in case we find that your responses require clarification:
Name
Title
Email Address
Phone Number
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Deterding, Nicole (ACF) |
File Modified | 0000-00-00 |
File Created | 2024-07-24 |