Information Collection

ACF Evidence Capacity Support

IC 264404 under ICR 202405-0970-006 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx	Other-Instrument 1: Discussion guide
EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx	Other-Instrument 1: Discussion guide
EvCap ORR ASFR Participant Protocol_Revised 1-5.docx	Other-Instrument 2: Discussion guide
EvCap ORR ASFR Participant Protocol_Revised 1-5.docx	Other-Instrument 2: Discussion guide
Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx	Other-Instrument 2 Appendix - Screen
Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx	Other-Instrument 2 Appendix - Screen
EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx SSA Prog Supp GenIC - ACF Evidence Capacity Support	IC Document
EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx SSA Prog Supp GenIC - ACF Evidence Capacity Support	IC Document
Change Request Template for GenICs_ORR ASFR_Clean.docx Change Request - ACF Evidence Capacity Support	IC Document
Change Request Template for GenICs_ORR ASFR_Clean.docx Change Request - ACF Evidence Capacity Support	IC Document

IC Title:

ACF Evidence Capacity Support

Agency IC Tracking Number:

OPRE/ORR

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Instrument 1: Discussion guide for the grant recipient interview	EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx	Yes	Yes	Printable Only
Other-Instrument 2: Discussion guide for the refugee interview	EvCap ORR ASFR Participant Protocol_Revised 1-5.docx	Yes	Yes	Printable Only
Other-Instrument 2 Appendix - Screening Questions	Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 115

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	121	46	75
Annual IC Time Burden (Hours)	80	5	75
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - ACF Evidence Capacity Support	EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx	05/13/2024
Change Request - ACF Evidence Capacity Support	Change Request Template for GenICs_ORR ASFR_Clean.docx	05/13/2024

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