NOA - MED Program Indicators

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NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

11/20/2025

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Kevin Duvall

FOR CLEARANCE OFFICER:

Catherine Howard

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
11/19/2025
ACTION REQUESTED:

No material or nonsubstantive change to a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

202511-0970-003

AGENCY ICR TRACKING NUMBER:
TITLE:

ACF - All Programs

Generic Performance Progress Reports

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0490

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 03/31/2026

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

3,915

19,455

0

New

3,915

19,455

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the previous clearance remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

Administration for
2, 1
Native Americans
(ANA) American
Rescue Plan
Emergency Language
(ARP EL) Progress
Report and Post Project
Report
Community
1
Collaborations to
Strengthen and
Preserve Families Semi
Annual ACF
Performance Progress
Report
Ethnic Community Self- 1
Help (ECSH) Program
Data Indicators
Head Start
1
Collaboration Office
Annual Report
Human Trafficking
Youth Prevention
Education (HTYPE)
Demonstration Grant
Program Performance
Indicators
Microenterprise
1
Development (MED)
Program Indicators
Office of Refugee
1
Resettlement Refugee
Family Child Care
Microenterprise
(RFCCMED) Program
Performance Data
Refugee Agricultural
1
Partnership Program
(RAPP) Indicators
Refugee Individual
1
Development Accounts
(IDA) Program
Indicators
Refugee Resettlement 1
Refugee Career
Pathways (RCP)
Program Performance
Data
Tribal Maternal, Infant, 4
and Early Childhood
Home Visiting Program
Form 4: Quarterly
Performance Reporting
Form
Wilson-Fish TANF
Part B, Part A
Coordination Project
Performance Report
Part A and B

Employer Engagement
Program Performance
Data

List of ICs
Form Name

CFR Citation

Hrs/$/Resp

ARP EL Post Project
Report, ARP EL Progress
Report

317 / 0 / 422

Community Collaborations
to Strengthen and
Preserve Families
Semiannual ACF
Performance Progress
Report; Appendix B Program Indicators
ECSH Reporting Form

338 / 0 / 26

HSCO Annual Report

216 / 0 / 54

192 / 0 / 96

48 / 0 / 8

MED Program Indicators

116 / 0 / 58

RFCCMED Performance
Data

120 / 0 / 60

RAPP Indicators

92 / 0 / 40

IDA Program Indicators

624 / 0 / 104

RCP Program
Performance Data

420 / 0 / 84

Tribal MIECHV Quarterly
Performance Reporting
Form

276 / 0 / 92

Wilson Fish TANF
Coordination Project
Performance Report Part
B, Wilson Fish TANF
Coordination Project
Performance Report Part
A

252 / 0 / 42

300 / 0 / 60

IC Title

Form No.

Office of Refugee
1
Resettlement Services
to Afghan Survivors of
Combat (SASIC)
Program Performance
Data Point Tool & User
Guide
Instructions for the
1
Office of Refugee
Resettlement
Unaccompanied
Children Program Home
Study and Post-Release
Service Grant Recipient
Program Indicators
Regional Partnership
B-01a, B-01
Grant Program Semi
Annual ACF
Performance Progress
Report
Family Violence
1
Prevention and
Services: National,
Special Issue, and
Culturally Specific
Resource Centers
Family Violence
1
Prevention and
Services: Grants to the
National Domestic
Violence Hotline
Family Violence
1
Prevention and
Services: Grants to
support Specialized
Services for Abused
Parents and Children
(SSAPC)
Family Violence
1
Prevention and
Services: Grants to
support Culturally
Specific Domestic
Violence and Sexual
Assault (CSDVSA)
Programs
Diaper Distribution
1
Demonstration and
Research Pilot
Quarterly Reporting
Requirements
Support for Trauma1
Affected Refugees
(STAR) Annual
Program Data Points
(PDP) Tool and User
Guide
Community Economic 1
Development –
Planning (CED-P) Grant
Recipient Performance
Progress Report (PPR)

List of ICs
Form Name

CFR Citation

Hrs/$/Resp

SASIC Data Point Form

120 / 0 / 24

HS-PRS PPR Data
Collection Template

63 / 0 / 100

RPG Program SAPR
Attachment, RPG
Program SAPR

759 / 0 / 46

Resource Center
Performance Progress
Report

304 / 0 / 38

FVPSA PPR - National
Domestic Violence Hotline

40 / 0 / 4

SSAPC PPR

1,100 / 0 / 110

CSDVSA PPR

700 / 0 / 70

DDDRP PPR

3,136 / 0 / 1,008

STAR Program Data Point
Form

84 / 0 / 28

CED-P PPR

248 / 0 / 124

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Preschool Development 1
PDG B-5 Renewal Grant
Grant Birth through Five
APPR
(PDG B-5) Renewal
Grant Annual
Performance Progress
Report –2025 Revision
Medical-Legal
1
MLP + Quantitative SemiPartnerships SemiAnnual Report
Annual Quantitative
Report
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
256 / 0 / 32

128 / 0 / 16

10,249