OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Administration for Children and Families Youth Programs – Sexual Orientation and Gender Identity (SOGI) Items

IC 271889 under ICR 202502-0970-046 · OMB 0970-0355.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 1_Youth Screener for Cognitive Interviews_CLEAN.docx Other-Screener - English Version
Instrument 1_Youth Screener for Cognitive Interviews_CLEAN.docx Other-Screener - English Version
Instrument 1_Youth Screener for Cognitive Interviews_DRAFT_CLEAN_es-us - SPANISH.docx Other-Screener - Spanish Version
Instrument 1_Youth Screener for Cognitive Interviews_DRAFT_CLEAN_es-us - SPANISH.docx Other-Screener - Spanish Version
Instrument 2. Cognitive Interview and Focus Group Protocol_clean.docx Other-Cognitive Interview and Focus
Instrument 2. Cognitive Interview and Focus Group Protocol_clean.docx Other-Cognitive Interview and Focus
Instrument 2. Cognitive Interview and Focus Group Protocol_clean_es-US - SPANISH.docx Other-Cognitive Interview and Focus
Instrument 2. Cognitive Interview and Focus Group Protocol_clean_es-US - SPANISH.docx Other-Cognitive Interview and Focus
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2014_CLEAN.docx
SSA - Administration for Children and Families Youth Programs – SOGI Items		IC Document
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2014_CLEAN.docx
SSA - Administration for Children and Families Youth Programs – SOGI Items		IC Document
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2024_CLEAN.docx
SSB - Administration for Children and Families Youth Programs – SOGI Items		IC Document
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2024_CLEAN.docx
SSB - Administration for Children and Families Youth Programs – SOGI Items		IC Document
Appendix A_Outreach Materials.docx
Appendix A: Outreach to participants (English)		IC Document
Appendix A_Outreach Materials.docx
Appendix A: Outreach to participants (English)		IC Document
Appendix A_Outreach Materials_es-US - SPANISH.docx
Appendix A: Outreach to participants (Spanish)		IC Document
Appendix A_Outreach Materials_es-US - SPANISH.docx
Appendix A: Outreach to participants (Spanish)		IC Document
Appendix B_Consent and Assent Forms_clean.docx
Appendix B: Consent and Assent Forms (English)		IC Document
Appendix B_Consent and Assent Forms_clean.docx
Appendix B: Consent and Assent Forms (English)		IC Document
Appendix B_Consent and Assent Forms_SPANISH_clean_12.12.24.docx
Appendix B: Consent and Assent Forms (Spanish)		IC Document
Appendix B_Consent and Assent Forms_SPANISH_clean_12.12.24.docx
Appendix B: Consent and Assent Forms (Spanish)		IC Document
Appendix C_SOGI Questions for pretest.docx
Appendix C: SOGI Questions for Pretest (English)		IC Document
Appendix C_SOGI Questions for pretest.docx
Appendix C: SOGI Questions for Pretest (English)		IC Document
Appendix C_SOGI Questions for pretest_es-US - SPANISH.docx
Appendix C: SOGI Questions for Pretest (Spanish)		IC Document
Appendix C_SOGI Questions for pretest_es-US - SPANISH.docx
Appendix C: SOGI Questions for Pretest (Spanish)		IC Document
ACF SOGI Clearance Comment 9.25.24.pdf
Public Comment on Umbrella Pretesting Revision - SOGI Testing		IC Document
ACF SOGI Clearance Comment 9.25.24.pdf
Public Comment on Umbrella Pretesting Revision - SOGI Testing		IC Document
Pretest Generic_0970-0355_Nonsub change memo_121224.docx
NonSub Change - ACF Youth Programs SOGI Items Pretesting		IC Document
Pretest Generic_0970-0355_Nonsub change memo_121224.docx
NonSub Change - ACF Youth Programs SOGI Items Pretesting		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-Screener - English Version Yes Yes Fillable Fileable
Other-Screener - Spanish Version Yes Yes Fillable Fileable
Other-Cognitive Interview and Focus Group Protocol (English Version) Yes Yes Printable Only
Other-Cognitive Interview and Focus Group Protocol (Spanish Version) 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 0 0 -445 0 0 445
Annual IC Time Burden (Hours) 0 0 -255 0 0 255
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - Administration for Children and Families Youth Programs – SOGI Items 12/11/2024
SSB - Administration for Children and Families Youth Programs – SOGI Items 12/11/2024
Appendix A: Outreach to participants (English) 10/28/2024
Appendix A: Outreach to participants (Spanish) 10/28/2024
Appendix B: Consent and Assent Forms (English) 12/13/2024
Appendix B: Consent and Assent Forms (Spanish) 12/13/2024
Appendix C: SOGI Questions for Pretest (English) 10/28/2024
Appendix C: SOGI Questions for Pretest (Spanish) 10/28/2024
Public Comment on Umbrella Pretesting Revision - SOGI Testing 10/28/2024
NonSub Change - ACF Youth Programs SOGI Items Pretesting 12/13/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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