Information Collection

Engagement with Intended Users of ACF-Sponsored Welfare and Family Self-Sufficiency Research

IC 279856 under ICR 202504-0970-028 · OMB 0970-0356.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1 Semi-structured focus group discussion guide_Rev3_4.2.26_Clean.docx	Other-Instrument 1: Semi-structured
Instrument 2 Web-based survey_Rev3_4.2.26_Clean.docx	Other-Instrument 2: Web-based survey
LEARN_Formative ACF Research Generic_0970-0356_SSA GenIC_Rev2_4.2.26_Clean.docx Formative Research GenIC SSA - LEARN Project	IC Document
LEARN_Formative ACF Research Generic_0970-0356_SSB GenIC_Rev2_4.2.26_Clean.docx Formative Research GenIC SSB - LEARN Project	IC Document
Appendix 1 Outreach materials_Rev3_4.2.26_Clean.docx Appendix 1: Outreach materials	IC Document
Appendix 2 _ Informed consent letter_Rev2_4.2.26_Clean.docx Appendix 2: Informed consent letter	IC Document

IC Title:

Agency IC Tracking Number:

OFA

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-Instrument 1: Semi-structured focus group discussion guide					Yes	Yes	Printable Only
Other-Instrument 2: Web-based 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: 236

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	236	236
Annual IC Time Burden (Hours)	107	107
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Formative Research GenIC SSA - LEARN Project		04/09/2026
Formative Research GenIC SSB - LEARN Project		04/09/2026
Appendix 1: Outreach materials		04/09/2026
Appendix 2: Informed consent letter		04/09/2026

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

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