Information Collection Request

Formative Data Collections for ACF Program Support

ICR 202611-0970-004 · OMB 0970-0531 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0970-0531_NonSubChangeRequestMemo_THV-CQIC-FoM_2026_10-30.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-11-04 Available
NonSub Change Request_ROWI GenIC_0970-0531.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-25 Available
CQIC Change Request Memo_OMB 0970-0531_Admin Fields_2026-06-05_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-08 Available
CQIC Change Request Memo_OMB 0970-0531_2026-06-01_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-02 Available
Formative Data Collections for Program Support SSA_extension 2025.docx Supporting Statement A Uploaded 2025-08-26 Available
Attachment B - Ongoing Burden 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Attachment A - Formative Usage Report 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Formative Data Collections for Program Support SSB_extension 2025.docx Supporting Statement B Uploaded 2025-08-26 Available
CQIC Change Request Memo_OMB 0970-0531_Admin Fields_2026-06-05_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-08 Available
CQIC Change Request Memo_OMB 0970-0531_2026-06-01_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-02 Available
Formative Data Collections for Program Support SSA_extension 2025.docx Supporting Statement A Uploaded 2025-08-26 Available
Attachment B - Ongoing Burden 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Attachment A - Formative Usage Report 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Formative Data Collections for Program Support SSB_extension 2025.docx Supporting Statement B Uploaded 2025-08-26 Available
NonSub Change Request_ROWI GenIC_0970-0531.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-25 Available
CQIC Change Request Memo_OMB 0970-0531_Admin Fields_2026-06-05_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-08 Available
CQIC Change Request Memo_OMB 0970-0531_2026-06-01_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-02 Available
Formative Data Collections for Program Support SSA_extension 2025.docx Supporting Statement A Uploaded 2025-08-26 Available
Attachment B - Ongoing Burden 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Attachment A - Formative Usage Report 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Formative Data Collections for Program Support SSB_extension 2025.docx Supporting Statement B Uploaded 2025-08-26 Available
CQIC Change Request Memo_OMB 0970-0531_Admin Fields_2026-06-05_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-08 Available
CQIC Change Request Memo_OMB 0970-0531_2026-06-01_fnl.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-06-02 Available
Formative Data Collections for Program Support SSA_extension 2025.docx Supporting Statement A Uploaded 2025-08-26 Available
Attachment B - Ongoing Burden 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Attachment A - Formative Usage Report 0970-0531.docx Supplementary Document Uploaded 2025-08-26 Available
Formative Data Collections for Program Support SSB_extension 2025.docx Supporting Statement B Uploaded 2025-08-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
281806 Office of Head Start Training & Technical Assistance Improvement Survey Other-Survey Modified
281297 Tracking the Use and Impact of FY 2025 One-time Supplemental Funds for Nutrition and Healthy Eating in Head Start Other-Survey Modified
280976 Healthy Marriage and Responsible Fatherhood Local Evaluation Technical Assistance (HMRF-LETA) Other-Template Modified
280892 CCWIS Modernization Industry Day Customer Service Feedback Other-Survey Modified
280733 National Center on Substance Abuse and Child Welfare Technical Assistance Request Form Other-Request Form Modified
280584 Tribal MIECHV Community Needs and Readiness Assessment and Implementation Plan Guidance Focus Groups Other-Discussion Guide Modified
280377 Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home Due to HantaVirus Other-Interest Form Modified
280157 Temporary Assistance for Needy Families (TANF) Listening Session Question Guide Other-Listening Session Guide Modified
280096 Sexual Risk Avoidance Education (SRAE) National Evaluation: Descriptive Study of Programming in Community Settings Other-Interview Protocol Modified
280092 Tribal Home Visiting Continuous Quality Improvement Collaboratives Other-PDSA Journey Tool Modified
280081 State Capacity and Readiness Assessment for a State-Centered Refugee Resettlement Framework Other-State Readiness Survey Modified
280055 Matching Grant/Preferred Communities Subrecipient Survey Other-Matching Grant Subrecipient Survey Modified
280044 National Child Welfare Center for Innovation and Advancement Service Request Form Other-Request Form Modified
279842 Tribal Home Visiting May 2026 Theme Call Discussion Questions Other-Discussion Qs Modified
279834 Tribal Home Visiting Peer Leadership Learning Network Statement of Interest Other-Statement of Interest Modified
279601 Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home from the Middle East Other-Interest Survey Modified
279287 Healthy Marriage and Responsible Fatherhood Data Capacity and Continuous Quality Improvement Plan Template Other-Template Modified
279272 Refugee Outreach and Well-Being Initiative (ROWI) Other-Phone Qs Modified
278995 National Center on Substance Abuse and Child Welfare (NCSACW) Regional Partnership Grant (RPG) Policy Academy Discussions Other-Discussion Guides Modified
278849 Leveling Up Nutrition in Migrant Seasonal Head Start Programs Other-Survey Modified
278700 State Emergency and Routine Repatriation Insight Survey Other-Survey Modified
277225 Runaway and Homeless Youth Learning Agenda Support Other-Instrument 1 - Quarterly Site Meeting Guide Modified
277224 Office of Refugee Resettlement Unaccompanied Alien Children Bureau Care Provider Transportation Services Feedback Survey Other-Survey Modified
277223 Tribal TANF Institutional Review Board (IRB) Outreach Other-Survey Modified
277222 Runaway and Homeless Youth Training, Technical Assistance, and Capacity Building Center (RHYTTAC) National Needs Assessment - 2025 Other-Survey Modified
277221 Tribal Early Learning Initiative Statement of Interest – FY26 Cohort Instruction Modified
277219 Survey on Low Income Home Energy Assistance Program (LIHEAP) Information Technology (IT) Solutions Other-Survey Modified
277218 Fiscal Responsibility Act TANF Pilot Program 2025 Information Collection Instruction Modified
277217 Strategies To Respond to Intimate Violence Effectively (STRIVE) Other-Survey Modified
277216 Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data Other-Survey Modified
277215 Unaccompanied Alien Children Office of the Ombuds Report of a Concern Other-Questionnaire Modified
277214 Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys Other-Survey Modified
277213 Office of Refugee Resettlement (ORR) Unaccompanied Children Bureau Policy Evaluation Focus Groups Other-Focus Group Protocol Modified
277212 Immigration Legal Services for Afghan Arrivals – Legal Service Provider Interest Form Other-Survey Modified
277199 SAVES Center Data Collection for Program Improvement Other-Instrument 1: Child Support Administrative Data Extract Modified
277198 TANF Data Collaborative (TDC) 2.0 – Formative Data Collection Other-Survey Modified
277195 Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments Other-Survey Modified
277194 Pathways to Work Evidence Clearinghouse Feedback Sessions Other-Discussion Questions Modified
277193 Feedback on the HomVEE Criteria for Evidence-Based Early Childhood Home Visiting Models Other-Focus Group Protocol Modified
277192 Advancing Best Practices and Cultural Relevance of Healthy Marriage and Responsible Fatherhood Programs for Indigenous Communities (I-HMRF) Other-Focus Group Ptotocol Modified
277189 ACF Privacy and Confidentiality Toolkit Case Studies Other-Questionnaire Modified
277188 ACF Data Request Other-Survey Modified
277187 Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings Other-Survey Bank Items Modified
277186 Public Access to Diaper Information Other-Survey Modified
277174 Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories. Other-Survey Modified
277173 Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches Other-Survey Modified
277167 Child Welfare Information Gateway Gov Delivery Subscription Profile Form Other-Subscription Form Modified
277166 The National Child Welfare Center for Innovation and Advancement Subscription Form Other-Subscription Form Modified
277162 TANF and Child Support Moving Forward: Further Incorporating Family Input Other-Instrument 1: Expression of Interest Form Modified
277161 Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD) Other-template Modified
277159 Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment Other-survey Modified
277158 Child Care and Development Fund (CCDF) Application for Intensive Consultation - Information Technology Strategic Roadmap Development Other-template Modified
277147 Administration for Children and Families External Speaker Request Form Other-Request Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
09/30/2028 09/30/2028
55,078 55,078
47,787 47,787
1,082,970 1,082,970





Reginfo record details
53
table that charts list of burden
IC Title Form No. Form Name
ACF Data Request
ACF Privacy and Confidentiality Toolkit Case Studies
Administration for Children and Families External Speaker Request Form
Advancing Best Practices and Cultural Relevance of Healthy Marriage and Responsible Fatherhood Programs for Indigenous Communities (I-HMRF)
CCWIS Modernization Industry Day Customer Service Feedback
Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment
Child Care and Development Fund (CCDF) Application for Intensive Consultation - Information Technology Strategic Roadmap Development
Child Welfare Information Gateway Gov Delivery Subscription Profile Form
Feedback on the HomVEE Criteria for Evidence-Based Early Childhood Home Visiting Models
Fiscal Responsibility Act TANF Pilot Program 2025 Information Collection
Healthy Marriage and Responsible Fatherhood Data Capacity and Continuous Quality Improvement Plan Template
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)
Healthy Marriage and Responsible Fatherhood Local Evaluation Technical Assistance (HMRF-LETA)
Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys
Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories.
Immigration Legal Services for Afghan Arrivals – Legal Service Provider Interest Form
Leveling Up Nutrition in Migrant Seasonal Head Start Programs
Matching Grant/Preferred Communities Subrecipient Survey
National Center on Substance Abuse and Child Welfare (NCSACW) Regional Partnership Grant (RPG) Policy Academy Discussions
National Center on Substance Abuse and Child Welfare Technical Assistance Request Form
National Child Welfare Center for Innovation and Advancement Service Request Form
Office of Head Start Training & Technical Assistance Improvement Survey
Office of Refugee Resettlement (ORR) Unaccompanied Children Bureau Policy Evaluation Focus Groups
Office of Refugee Resettlement Unaccompanied Alien Children Bureau Care Provider Transportation Services Feedback Survey
Pathways to Work Evidence Clearinghouse Feedback Sessions
Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments
Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home Due to HantaVirus
Potential Support Interest Form ' U.S. Repatriation Program Services for U.S. Citizens Returning Home from the Middle East
Public Access to Diaper Information
Refugee Outreach and Well-Being Initiative (ROWI)
Runaway and Homeless Youth Learning Agenda Support
Runaway and Homeless Youth Training, Technical Assistance, and Capacity Building Center (RHYTTAC) National Needs Assessment - 2025
SAVES Center Data Collection for Program Improvement
Sexual Risk Avoidance Education (SRAE) National Evaluation: Descriptive Study of Programming in Community Settings
Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
State Capacity and Readiness Assessment for a State-Centered Refugee Resettlement Framework
State Emergency and Routine Repatriation Insight Survey
Strategies To Respond to Intimate Violence Effectively (STRIVE)
Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches
Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data
Survey on Low Income Home Energy Assistance Program (LIHEAP) Information Technology (IT) Solutions
TANF Data Collaborative (TDC) 2.0 – Formative Data Collection
TANF and Child Support Moving Forward: Further Incorporating Family Input
Temporary Assistance for Needy Families (TANF) Listening Session Question Guide
The National Child Welfare Center for Innovation and Advancement Subscription Form
Tracking the Use and Impact of FY 2025 One-time Supplemental Funds for Nutrition and Healthy Eating in Head Start
Tribal Early Learning Initiative Statement of Interest – FY26 Cohort
Tribal Home Visiting Continuous Quality Improvement Collaboratives
Tribal Home Visiting May 2026 Theme Call Discussion Questions
Tribal Home Visiting Peer Leadership Learning Network Statement of Interest
Tribal MIECHV Community Needs and Readiness Assessment and Implementation Plan Guidance Focus Groups
Tribal TANF Institutional Review Board (IRB) Outreach
Unaccompanied Alien Children Office of the Ombuds Report of a Concern

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 55,078 55,078 0 0 0 0
Annual Time Burden (Hours) 47,787 47,787 0 0 0 0
Annual Cost Burden (Dollars) 1,082,970 1,082,970 0 0 0 0


Reginfo record details
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