Information Collection

Diaper Distribution Demonstration and Research Pilot (DDDRP) Assessment

IC 263856 under ICR 202409-0970-007 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 1. Grant recipient staff interview protocol.docx Other-Interview protocol
Instrument 1. Grant recipient staff interview protocol.docx Other-Interview protocol
Instrument 2. Grant subrecipient staff interview protocol.docx Other-Interview protocol
Instrument 2. Grant subrecipient staff interview protocol.docx Other-Interview protocol
Instrument 3. DDDRP participant focus group protocol.docx Other-Focus group protocol
Instrument 3. DDDRP participant focus group protocol.docx Other-Focus group protocol
Instrument 4. Site visit scheduling template .docx Other-Template
Instrument 4. Site visit scheduling template .docx Other-Template
Instrument 5. DDDRP focus group participant recruitment tool.docx Other-Recruitment Tool
Instrument 5. DDDRP focus group participant recruitment tool.docx Other-Recruitment Tool
Instrument 6. DDDRP participant follow-up data guidance-subset of cohort 1 .docx Instruction
Instrument 6. DDDRP participant follow-up data guidance-subset of cohort 1 .docx Instruction
Instrument 7. DDDRP participant photo release and instructions.docx Other-Photo release and instructions
Instrument 7. DDDRP participant photo release and instructions.docx Other-Photo release and instructions
Instrument 8. DDDRP Listening Session Discussion Guide clean 3.4.24.docx Other-Discussion Guide
Instrument 8. DDDRP Listening Session Discussion Guide clean 3.4.24.docx Other-Discussion Guide
DDDRP OMB Supporting Statement Part A_12.8.23_final_clean_3.4.24.docx
SSA - DDDRP Assessment Prog Supp GenIC
IC Document
DDDRP OMB Supporting Statement Part A_12.8.23_final_clean_3.4.24.docx
SSA - DDDRP Assessment Prog Supp GenIC
IC Document
DDDRP OMB Supporting Statement Part B_12.8.23.docx
SSB - DDDRP Assessment Prog Supp GenIC
IC Document
DDDRP OMB Supporting Statement Part B_12.8.23.docx
SSB - DDDRP Assessment Prog Supp GenIC
IC Document
Attachment A. Template flyer for focus group recruitment_fnl.docx
Attachment A. Template flyer for focus group recruitment
IC Document
Attachment A. Template flyer for focus group recruitment_fnl.docx
Attachment A. Template flyer for focus group recruitment
IC Document
Change Request_DDDRP Eval_New Listening Session_clean 3.4.24.docx
Change - DDDRP Assessment Add Instrument 8 (Listening Sessions)
IC Document
Change Request_DDDRP Eval_New Listening Session_clean 3.4.24.docx
Change - DDDRP Assessment Add Instrument 8 (Listening Sessions)
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Interview protocol Instrument 1. Grant recipient staff interview protocol.docx Yes Yes Printable Only
Other-Interview protocol Instrument 2. Grant subrecipient staff interview protocol.docx Yes Yes Printable Only
Other-Focus group protocol Instrument 3. DDDRP participant focus group protocol.docx Yes Yes Printable Only
Other-Template Instrument 4. Site visit scheduling template .docx Yes Yes Fillable Fileable
Other-Recruitment Tool Instrument 5. DDDRP focus group participant recruitment tool.docx Yes Yes Fillable Fileable
Instruction Instrument 6. DDDRP participant follow-up data guidance-subset of cohort 1 .docx Yes Yes Printable Only
Other-Photo release and instructions Instrument 7. DDDRP participant photo release and instructions.docx Yes Yes Fillable Fileable
Other-Discussion Guide Instrument 8. DDDRP Listening Session Discussion Guide clean 3.4.24.docx Yes Yes Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,852 0 0 0 0 3,852
Annual IC Time Burden (Hours) 695 0 0 0 0 695
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - DDDRP Assessment Prog Supp GenIC DDDRP OMB Supporting Statement Part A_12.8.23_final_clean_3.4.24.docx 03/05/2024
SSB - DDDRP Assessment Prog Supp GenIC DDDRP OMB Supporting Statement Part B_12.8.23.docx 12/11/2023
Attachment A. Template flyer for focus group recruitment Attachment A. Template flyer for focus group recruitment_fnl.docx 12/11/2023
Change - DDDRP Assessment Add Instrument 8 (Listening Sessions) Change Request_DDDRP Eval_New Listening Session_clean 3.4.24.docx 03/05/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.