Information Collection

Supporting Pilot Program Outcomes, Research and Technical Assistance in TANF (Project SUPPORTT) – Study Information Form

IC 278533 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1. Study information form_rev.docx	Other-Survey
Formative ACF Research Generic_0970-0356_SSA_CLEAN_12.22.25.docx SSA Formative Research GenIC - Project SUPPORTT Study Information Form	IC Document
Formative ACF Research Generic_0970-0356_SSB_CLEAN.docx SSB Formative Research GenIC - Project SUPPORTT Study Information Form	IC Document
Appendix A. Study information form notifications.docx Appendix A. Study information form notifications	IC Document

IC Title:

Supporting Pilot Program Outcomes, Research and Technical Assistance in TANF (Project SUPPORTT) â Study Information Form

Agency IC Tracking Number:

OPRE

IC Status: New

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-Survey					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: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Formative Research GenIC - Project SUPPORTT Study Information Form		12/22/2025
SSB Formative Research GenIC - Project SUPPORTT Study Information Form		12/18/2025
Appendix A. Study information form notifications		12/18/2025

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

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