Formative Data Collections for ACF Program Support

Forms and Documents

Document	Type	Status	Availability
Change Request -Tribal Homelessness TANF GenIC_12.17.24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-17	Repair queued
Change Request -Tribal Homelessness TANF GenIC_11.12.24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-11-12	Available
Change Request Template for GenICs_9.30.24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-30	Repair queued
NonSub Change Request RECS Feedback OMB 0970-0531_v2_09162024 (002).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-16	Available
NonSub Change Request - Formative for ACF Program Support - GenIC - ACF Data Request - Clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-08-07	Repair queued
Change Request Template for GenICs_ORR ASFR_Clean.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-05-13	Repair queued
Change Request_DDDRP Eval_New Listening Session_clean 3.4.24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-03-05	Available
NonSub Change Request Template_ORR U4U Survey_fnl.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-01-24	Available
DDDRP_Change Request_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-11-30	Available
Change Request - DDDRP OMB #0970-0531 - Aug 2023.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-08-09	Available
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-07-24	Repair queued
Change Request - OSHEPR Climate Change GenIC.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-13	Repair queued
Change Request ARP_OCC_12-14-2022_final.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-02-08	Available
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-12-12	Repair queued
Attachment B - Ongoing Burden 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Available
Attachment A - Formative Usage Report 0970-0531.docx	Supplementary Document	Uploaded 2022-07-12	Repair queued
Formative Data Collections for Program Support SSB_Revision 2022_July 2022.docx	Supporting Statement B	Uploaded 2022-07-12	Repair queued
Formative Data Collections for Program Support SSA_Revision 2022_final Sept 2022.docx	Supporting Statement A	Uploaded 2022-09-01	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
273135	U.S. Virgin Islands Domestic Violence Territory Coalition Community Participant Listening Sessions	Other-Discussion Qs	New
273132	Oklahoma Domestic Violence State Coalition Community Participant Listening Sessions	Other-Discussion Qs	New
272865	Office of Family Violence Prevention and Services Formula Grantees Performance Progress Report (PPR) Listening Sessions	Other-OFVPS State/Territory Grantees PPR Listening Session Guide	Unchanged
272757	"Research Ready Grantee" Intake Form	Other-Survey/Form	Unchanged
272655	TANF Data Collaborative (TDC) 2.0 – Formative Data Collection	Other-Survey	Unchanged
272510	Child Care and Development Fund (CCDF) Information Technology Matters 3	Other-Discussion Questions	Unchanged
272226	Pathways to Work Evidence Clearinghouse Feedback Sessions	Other-Discussion Questions	Unchanged
271991	Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF	Other-Survey	Modified
271817	Child Care and Development Fund (CCDF) Tribal Listening Sessions on Use of Information Technology	Other-Discussion Qs	Unchanged
271786	Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments	Other-Survey	Unchanged
271784	Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.	Other-Survey	Unchanged
271621	Feedback on the HomVEE Criteria for Evidence-Based Early Childhood Home Visiting Models	Other-Focus Group Protocol	Unchanged
271475	Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches	Other-Questionnaire	Unchanged
271438	Child Care and Development Fund (CCDF) Application for Intensive Consultation - Information Technology Strategic Roadmap Development	Other-Application	Unchanged
270521	SAVES Center Data Collection for Program Improvement	Other-Instrument 1: Child Support Administrative Data Extract	Unchanged
270437	Survey for Staff Supporting Infants and Toddlers for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Survey	Unchanged
270388	Child Care and Development Fund (CCDF) Information Technology Matters 2	Other-Discussion Questions	Unchanged
270271	Office of Refugee Resettlement Unaccompanied Children Bureau Normalcy Integration Survey	Other-Survey	Unchanged
270269	Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides	Other-Survey	Unchanged
270267	Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guide	Other-Interview	Unchanged
270018	Unaccompanied Children Office of the Ombuds Report of a Concern	Other-	Unchanged
270017	Office of Family Violence Prevention and Services Outcome Measurement Listening Session	Other-Interview Guide	Unchanged
270014	Office of Child Care Technical Assistance Interest Form: Improving Child Care and Part C Integration or Disability Inclusion in Child Care	Other-Interest Form	Unchanged
270013	Advancing Best Practices and Cultural Relevance of Healthy Marriage and Responsible Fatherhood Programs for Indigenous Communities (I-HMRF)	Other-Focus Group Ptotocol	Unchanged
269420	Fiscal Responsibility Act TANF Pilot Program Information Collection	Other-Request	Unchanged
269360	Child Care and Development Fund (CCDF) Information Technology Matters 1	Other-Discussion Qs	Unchanged
269199	Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation	Other-Screener	Unchanged
269135	Feedback After the Office of Planning, Research, and Evaluation's 2024 Research and Evaluation Conference on Self-Sufficiency (RECS)	Other-Survey	Unchanged
268978	Child Care and Development Fund (CCDF) Information Technology Environment Scan	Other-Survey	Unchanged
267925	Unaccompanied Children Program Care Providers Education Services Survey	Other-Survey	Unchanged
267864	Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period	Other-Survey	Unchanged
267538	Tribal Home Visiting Program Information Collection for Revision to Community Needs Readiness Assessment (CNRA)	Other-Focus Group Protocol	Unchanged
267505	National Youth in Transition Database (NYTD) State Partners and Supplemental Data Survey	Other-Survey	Unchanged
265138	National Center on Afterschool and Summer Enrichment (NCASE) Out-of-School Time Workforce Focus Groups	Other-Focus Group Protocol	Unchanged
264551	Office of Head Start Program Information Report Data Quality Focus Groups	Other-Focus Group	Unchanged
264406	Public Access to Diaper Information	Other-Survey	Unchanged
264404	ACF Evidence Capacity Support	Other-Instrument 1: Discussion guide for the grant recipient int	Unchanged
263949	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Supplemental Funds – Check-In Call Interview Questions	Other-Interview Qs	Unchanged
263875	Center for States GovDelivery Subscription Form	Other-Subscription Form	Unchanged
263874	Child Welfare Information Gateway Gov Delivery Subscription Profile Form	Other-Subscription Form	Unchanged
263856	Diaper Distribution Demonstration and Research Pilot (DDDRP) Assessment	Other-Interview protocol	Unchanged
263617	Immigration Legal Services for Afghan Arrivals – Technical Assistance Interest Form	Other-Interest Form	Unchanged
263301	Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Analysis Plan Template	Other-Template	Unchanged
263060	Feedback on Materials for Father Involvement National Media Campaign	Other-Other	Unchanged
262953	Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template	Other-Template	Unchanged
262788	TANF Pilot Convenings	Other-Listening Session Protocol	Unchanged
262735	Immigration Legal Services for Afghan Arrivals – Legal Service Provider Interest Form	Other-Survey	Unchanged
262224	Office of Refugee Resettlement (ORR) Unaccompanied Children (UC) Program Youth Engagement Focus Groups	Other-Focus Group Guide	Unchanged
261300	Needs Assessment Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Survey	Unchanged
261091	Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey	Other-survey	Unchanged
260739	Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support	Other-Survey	Unchanged
260714	Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment	Other-Survey	Unchanged
260601	The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Professional Partner Groups	Other-Selection Surveys	Unchanged
260313	The Adulthood Preparation Subjects (APSs) Study of Dosage and Cultural Relevance	Other-Interview Guide	Unchanged
260282	Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment	Other-survey	Unchanged
260203	ACF Data Request	Other-	Unchanged
259778	Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment	Other-Survey	Unchanged
259195	ORR - Resource Guides for Discretionary Grant Programs Division of Refugee Services (DRS)	Other-Questionnaire	Unchanged
259011	Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response	Other-Focus Group Script: State Human Services Programs	Unchanged
258808	United for Ukraine	Other-Survey	Unchanged
258671	Community Injects Related to Local Environmental Justice and Climate Change Impacts	Other-Instrument 1: Interview Script	Unchanged
258670	TANF and Child Support Moving Forward: Further Incorporating Family Input	Other-Instrument 1: Expression of Interest Form	Unchanged
258669	Feedback from CLASS Video Pilot	Other-Survey	Unchanged
258666	ACF Behavioral Health Survey	Other-Survey	Unchanged
258664	Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey	Other-Survey	Unchanged
258647	Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research	Other-Survey	Unchanged
257094	Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Other-Survey	Unchanged
257039	Title IV-E Tribal-State Agreement Evaluation	Other-Survey	Unchanged
257036	Humanitarian Response Operating Plan Listening Sessions	Other-Listening Sessions Protocol	Unchanged
256293	Court Improvement Program Court System Structures	Other-Instrument 1: CIP Survey for Court System Structures	Unchanged
256222	TANF and Child Support Moving Forward: Lessons Learned from the COVID-19 Pandemic	Other-Questionnaire	Unchanged
254590	Services for Survivors of Torture Medical Care Survey	Other-Survey	Unchanged
254589	HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)	Other-Focus Group Protocol	Unchanged
254588	Tribal Home Visiting Continuous Quality Improvement Collaboratives	Other-template	Unchanged
254587	Multi-Site Study of State-Tribal Collaboration in Home Visiting	Other-Interview Protocol	Unchanged
254586	Family Economic Mobility (FEM) Training and Technical Assistance Feedback	Other-Feedback survey	Unchanged
254583	Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey	Other-Interview Qs	Unchanged
254582	Tribal Early Learning Initiative (TELI) Statement of Interest	Other-Statement of Interest	Unchanged
254581	Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report	Other-Survey	Unchanged
254573	Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project	Other-Fidelity Log	Unchanged
254570	Administration for Children and Families External Speaker Request Form	Other-Request Form	Unchanged
254568	Strengthening the Implementation of Marriage and Relationship Programs (SIMR)	Other-Survey	Unchanged
254562	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages	Other-Interview Guide	Unchanged
254560	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage	Other-Interview Guide	Unchanged
254559	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage	Other-Interview Guide	Unchanged
254557	Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update	Other-Child Care Stabilization Grants: Interviewer Guide (Attach	Unchanged
254556	Personal Responsibility Education Program (PREP) Local Evaluation Support	Other-Template	Unchanged
254554	OFA Training and Technical Assistance (TTA)	Other-	Unchanged
254553	Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System	Other-Interview Protocol	Unchanged
254552	Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase	Other-Survey	Unchanged
254551	Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients	Other-Template	Unchanged
254550	Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - (PREIS and TPREP templates)	Other-Template	Unchanged
254549	Next Generation of Enhanced Employment Strategies Project - MOMS Partnership	Other-Survey	Unchanged
254548	ACF Privacy and Confidentiality Toolkit Case Studies	Other-Survey	Unchanged
254547	Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings	Other-Survey Bank Items	Unchanged
254541	Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys	Other-Survey	Unchanged
254540	Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment	Other-Survey	Unchanged
254539	Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)	Other-Template	Unchanged
254537	Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections	Other-Screener	Unchanged
254531	Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)	Other-observation tool	Unchanged
254529	Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)	Other-template	Unchanged

ICR Details

OMB Control No: 0970-0531	ICR Reference No: 202412-0970-005
Status: Active	Previous ICR Reference No: 202411-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Formative Data Collections for ACF Program Support
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/17/2024
	Date Received in OIRA: 12/17/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	09/30/2025	09/30/2025
Responses	44,913	0	44,913
Time Burden (Hours)	54,152	0	54,152
Cost Burden (Dollars)	1,082,970	0	1,082,970

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Abstract: The Formative Data Collections for Administration for Children and Families (ACF) Program Support generic was created to allow ACF program offices to learn more about program-related services, including processes and needs of funded programs or grantees, those served by ACF programs, or others experienced with or interested in ACF programs. The goal is to improve ACF decision-making, program support, and support for or relationships with those with interest in ACF programs. The generic was approved as a new overarching generic in July 2019. In December 2020, ACF submitted a change request to increase burden estimates due to a higher than estimated demand to submit generic information collection requests. The higher demand was due in part to this being a new generic and ACF not having specific historical information to base estimates on, but also due to the unforeseen and unprecedented situation created by the COVID-19 pandemic. The Formative Data Collections for ACF Program Support generic has proved very useful for program offices to collect formative information about what programs and grantees are doing in response to the pandemic and to identify needs so that appropriate support can be provided.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act, SEC. 1110
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 4603	01/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 41723	07/13/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 101

IC Title	Form No.	Form Name
"Research Ready Grantee" Intake Form
ACF Behavioral Health Survey
ACF Data Request
ACF Evidence Capacity Support
ACF Privacy and Confidentiality Toolkit Case Studies
Administration for Children and Families External Speaker Request Form
Advancing Best Practices and Cultural Relevance of Healthy Marriage and Responsible Fatherhood Programs for Indigenous Communities (I-HMRF)
Center for States GovDelivery Subscription Form
Child Care and Development Fund (CCDF) Application for Intensive Consultation - Information Technology Strategic Roadmap Development
Child Care and Development Fund (CCDF) Tribal Listening Sessions on Use of Information Technology
Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment
Child Care and Development Fund (CCDF) Information Technology Environment Scan
Child Care and Development Fund (CCDF) Information Technology Matters 1
Child Care and Development Fund (CCDF) Information Technology Matters 2
Child Care and Development Fund (CCDF) Information Technology Matters 3
Child Welfare Information Gateway Gov Delivery Subscription Profile Form
Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates)
Community Injects Related to Local Environmental Justice and Climate Change Impacts
Court Improvement Program Court System Structures
Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project
Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey
Diaper Distribution Demonstration and Research Pilot (DDDRP) Assessment
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection
Family Economic Mobility (FEM) Training and Technical Assistance Feedback
Feedback After the Office of Planning, Research, and Evaluation's 2024 Research and Evaluation Conference on Self-Sufficiency (RECS)
Feedback from CLASS Video Pilot
Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response
Feedback on Materials for Father Involvement National Media Campaign
Feedback on the HomVEE Criteria for Evidence-Based Early Childhood Home Visiting Models
Fiscal Responsibility Act TANF Pilot Program Information Collection
Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey
Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support
HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)
Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys
Humanitarian Response Operating Plan Listening Sessions
Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.
Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment
Immigration Legal Services for Afghan Arrivals – Legal Service Provider Interest Form
Immigration Legal Services for Afghan Arrivals – Technical Assistance Interest Form
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Supplemental Funds – Check-In Call Interview Questions
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - (PREIS and TPREP templates)
Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period
Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research
Multi-Site Study of State-Tribal Collaboration in Home Visiting
National Center on Afterschool and Summer Enrichment (NCASE) Out-of-School Time Workforce Focus Groups
National Youth in Transition Database (NYTD) State Partners and Supplemental Data Survey
Needs Assessment Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
Next Generation of Enhanced Employment Strategies Project - MOMS Partnership
OFA Training and Technical Assistance (TTA)
ORR - Resource Guides for Discretionary Grant Programs Division of Refugee Services (DRS)
Office of Child Care Technical Assistance Interest Form: Improving Child Care and Part C Integration or Disability Inclusion in Child Care
Office of Family Violence Prevention and Services Outcome Measurement Listening Session
Office of Family Violence Prevention and Services Formula Grantees Performance Progress Report (PPR) Listening Sessions
Office of Head Start Program Information Report Data Quality Focus Groups
Office of Refugee Resettlement (ORR) Unaccompanied Children (UC) Program Youth Engagement Focus Groups
Office of Refugee Resettlement Unaccompanied Children Bureau Normalcy Integration Survey
Oklahoma Domestic Violence State Coalition Community Participant Listening Sessions
Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report
Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey
Pathways to Work Evidence Clearinghouse Feedback Sessions
Personal Responsibility Education Program (PREP) Local Evaluation Support
Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments
Public Access to Diaper Information
Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients
Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guide
Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides
Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template
Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment
SAVES Center Data Collection for Program Improvement
Services for Survivors of Torture Medical Care Survey
Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase
Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
Strengthening the Implementation of Marriage and Relationship Programs (SIMR)
Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Analysis Plan Template
Strengthening the Implementation of Responsible Fatherhood Programs (SIRF)
Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches
Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation
Survey for Staff Supporting Infants and Toddlers for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF
TANF Data Collaborative (TDC) 2.0 – Formative Data Collection
TANF Pilot Convenings
TANF and Child Support Moving Forward: Further Incorporating Family Input
TANF and Child Support Moving Forward: Lessons Learned from the COVID-19 Pandemic
The Adulthood Preparation Subjects (APSs) Study of Dosage and Cultural Relevance
The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Professional Partner Groups
Title IV-E Tribal-State Agreement Evaluation
Tribal Early Learning Initiative (TELI) Statement of Interest
Tribal Home Visiting Continuous Quality Improvement Collaboratives
Tribal Home Visiting Program Information Collection for Revision to Community Needs Readiness Assessment (CNRA)
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment
U.S. Virgin Islands Domestic Violence Territory Coalition Community Participant Listening Sessions
Unaccompanied Children Office of the Ombuds Report of a Concern
Unaccompanied Children Program Care Providers Education Services Survey
United for Ukraine
Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System
Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	44,913	44,913	0	0	0	0
Annual Time Burden (Hours)	54,152	54,152	0	0	0	0
Annual Cost Burden (Dollars)	1,082,970	1,082,970	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is to extend approval of this overarching generic (OMB #0970-0531) to allow ACF to continue to collect information as described in this supporting statement. The increased estimated burden is based on experiences to date, including the use since initial approval as well as consultation with program office staff and research contractors with whom we have partnered.

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Annual Cost to Federal Government: $175,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/17/2024

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