Fast Track PRA Submission Short Form

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Request for Approval under the “Administration for Children and Families Generic for Information Collections Related to Gatherings”
(OMB Control Number: 0970-0617)


TITLE OF INFORMATION COLLECTION: Administration for Children and Families 2026 RECS Emerging Scholars Mentoring Event: Registration Form

PURPOSE: This information collection is intended to provide information to the Administration for Children and Families (ACF) on interested mentors and mentees attending the Emerging Scholars Mentoring Event at the 2026 Research and Evaluation Conference on Self-Sufficiency (RECS). Specifically, ACF is interested in collecting demographic and mentor/mentee information of interested RECS attendees to inform mentor/mentee matching and group discussion at the 2026 RECS Emerging Scholars Mentoring Event.

The goal of the proposed information collection is to gather information about individuals interested in attending the 2026 RECS Emerging Scholars Mentoring Event in the current year (FY26). The form includes the following information fields: the respondent’s name, email address, mentor/mentee designation, organizational and/or institutional affiliation(s), department, position/title, social media accounts, a short biography, and preferred topics for mentoring group discussions. This information will allow ACF to match mentor/mentees and tailor group discussion to attendees’ preferences at the Emerging Scholars Mentoring Event at RECS. 

The data collected and reported by the contractor to ACF will be descriptive in nature and will be used for internal planning purposes only. Form completion is voluntary.

DESCRIPTION OF RESPONDENTS: Attendees at RECS (emerging/early career scholars, mid- and senior-level career professionals) who are interested in attending the Emerging Scholars Mentoring Event and engaging in discussions as a mentor or mentee.

CERTIFICATION:
I certify the following to be true: 
    1. The collection is voluntary. 
    2. The collection is low-burden for respondents and low-cost for the Federal Government.
    3. The collection is non-controversial and does not raise issues of concern to other federal agencies.
    4. The information collected is not intended to be disseminated to the public1.		
    5. Information gathered will not be used for the purpose of substantially informing influential policy decisions. 

Name and affiliation: Elizabeth Karberg, ACF__________________


To assist review, please provide the following information:

BURDEN HOURS 

Instrument Title
Category of Respondent
No. of Respondents
Participation Time
Burden
2026 Emerging Scholars Mentoring Event: Registration Form
Individuals
100
5 minutes (.083 hours)
8.3 hours

FEDERAL COST:  The estimated annual cost to the Federal government is $1,379.  The estimated cost to the government is related to an existing contractor programming, testing, and distributing of the survey, administrative monitoring of the survey results, and analysis and reporting results internally to ACF.

Administration of the Instrument
    1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media 
[  ] Telephone	
[  ] In-person	
[  ] Mail 
[  ] Other, Explain


Please make sure that all instruments, instructions, and scripts are submitted with the request.