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ACF Behavioral Health Survey
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 258666
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202403-0970-006
IC 258666
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-10-04 - No material or nonsubstantive change to a currently approved collection
2024-09-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Behavioral Health Survey - English - 1.23.23.docx
Other-Survey
SSA Template - Formative for ACF Program Support - BH survey - clean final draft 1.19.23.docx
Supporting Statement A
IC Document
SSB Template - Formative for ACF Program Support- BH survey - clean final draft 1.19.23.docx
Supporting Statement B
IC Document
Behavioral Health Survey - Spanish - 1.24.23.docx
Survey Spanish Version
IC Document
Information Collection (IC) Details
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