Information Collection

ACF Evidence Capacity Support

IC 264404 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⚠️ Notice: This information collection may be referencing outdated material.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
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
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
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: Unchanged

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	Previously Approved
Annual Number of Responses for this IC	121	121
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	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.