Information Collection

Administration for Children and Families External Speaker Request Form

IC 254570 under ICR 202412-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
ACF Speaking Request Form_5.17.22.docx	Other-Request Form
SSA - Formative ACF Prog Supp GenIC_ACF Speaking Request Form_5.17.22.docx SSA - ACF External Speaker Request Form	IC Document
NOA_Prog Supp GenIC_ACF Speaker Request_0970-0531_5.24.22.pdf NOA - ACF External Speaker Request Form	IC Document

IC Title:

Administration for Children and Families External Speaker Request Form

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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-Request Form			ACF Speaking Request Form_5.17.22.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: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - ACF External Speaker Request Form	SSA - Formative ACF Prog Supp GenIC_ACF Speaking Request Form_5.17.22.docx	07/11/2022
NOA - ACF External Speaker Request Form	NOA_Prog Supp GenIC_ACF Speaker Request_0970-0531_5.24.22.pdf	07/11/2022

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