Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey

Formative Data Collections for ACF Program Support

2022_12_16- Instrument 1- DDDRP Partner Organizations Data Infrastructure Survey_clean

Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey

OMB: 0970-0531

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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]


  1. Outside of DDDRP, does your organization distribute diapers and/or diapering supplies? Yes/No

[If 1== no, skip to 3]


  1. [If 1== yes] Outside of DDRP, how does your organization collect information about the people receiving diapers or diapering supplies?

  1. We only collect overall counts of people, families, or the diapering supplies we distribute

  2. We collect more than overall counts. We collect the following information about people receiving diapers or diapering services:

Information that identifies individuals

  • Name

Yes

No

  • Address

Yes

No

  • Phone Number

Yes

No

  • Email

Yes

No

  • Date of Birth

Yes

No

  • Social Security Number

Yes

No

Demographic information

  • Race/ethnicity

Yes

No

  • Family Size

Yes

No

  • Child age(s)

Yes

No

  • Income

Yes

No

  • Employment Status

Yes

No

  • Gender

Yes

No

  • Other (Please Describe)

Yes

No



  1. What non-diaper services does your organization currently offer?

Type of Service 

Within this organization 

Via external referral 

Not Offered

Unknown

Employment Services 



  • Skills training and opportunities for job experience 

 

 



  • Career counseling 

 

 



  • Job search 

 

 



  • Post-employment supports 

 

 



  • Employment supplies 

 

 



Education and Cognitive Development Services 



  • Early child educational programs  
    (Head Start, Early Head Start, Other 0-5 education) 

 

 



  • K-12 education supports 

 

 



  • Extracurricular programs 

 

 



  • School Supplies 

 

 



  • College readiness supports 

 

 



  • Postsecondary education supports 

 

 



  • Adult education programs 

 

 



  • Financial aid assistance 

 

 



  • Home visits 

 

 



Income and Asset Building Services 



  • Training and Counseling Services 

 

 



  • Benefit Coordination and Advocacy 

 

 



  • Asset Building 

 

 



  • Loans and Grants 

 

 



Housing Services 



  • Housing payment assistance 

 

 



  • Eviction prevention services 

 

 



  • Utility payment assistance 

 

 



  • Housing placement/rapid re-housing 

 

 



  • Housing maintenance and improvements 

 

 



  • Weatherization services 

 

 



Health and Social/Behavioral Development Services 



  • Health services, screening, and assessments 

 

 



  • Reproductive health services 

 

 



  • Wellness education 

 

 



  • Mental/behavioral health 

 

 



  • Support groups 

 

 



  • Dental services, screenings, and exams 

 

 



  • Nutrition and food/meals 

 

 



  • Family skills development 

 

 



  • Emergency hygiene assistance 

 

 



Civic Engagement and Community Involvement Services 



  • Voter education, Leadership training, Citizenship classes 

 

 





  1. At your organization, are multiple customer needs assessed using a single intake process? Yes/No


  2. Is diaper need currently assessed at the time you assess need for other services? Yes/No


  3. Does your organization’s main data system currently include the following information:

(a) Information that identifies individuals

  • Name

Yes

No

  • Address

Yes

No

  • Phone Number

Yes

No

  • Email

Yes

No

  • Date of Birth

Yes

No

  • Social Security Number

Yes

No

(b) Demographic information

  • Race/ethnicity

Yes

No

  • Family Size

Yes

No

  • Child age(s)

Yes

No

  • Employment status

Yes

No

  • Gender

Yes

No

  • Income

Yes

No

  • Other (Please Describe)

Yes

No

  1. Assessment of service needs



  • Diaper need

Yes

No

  • Need for other services provided by our organization

Yes

No

  • Need for services not provided by our organization

Yes

No

(d) The services that individuals or households receive

  • Diapers/Diapering Supplies

Yes

No

  • Non-diaper services provided by your organization

Yes

No

  • Referrals to external service organizations

Yes

No



(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)

  1. Inadequate technology to collect and/or report data

  2. Inadequate training for staff or volunteers doing data entry

  3. Insufficient staff time for data reporting

  4. Known data quality challenges, such as incomplete or inaccurate records

  5. Coordinating client information across the services they receive

  6. 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 Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDeterding, Nicole (ACF)
File Modified0000-00-00
File Created2024-10-07

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