Information Collection

Administration for Children and Families External Speaker Request Form

IC 277147 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACF CLEAN Proposed Speakers Bureau form AUG25_fnl.docx	Other-Request Form
SSA-CLEAN Formative ACF Prog Supp GenIC_ACF Speaking Request Form 8.1.25.docx SSA Program Support GenIC - ACF External Speaker Request Form	IC Document
NOA_NonSubChg_OA_External Speaker Requests_Project Support GenIC_0970-0490_8.6.25.pdf NOA - ACF External Speaker Request Form	IC Document

IC Title:

Agency IC Tracking Number:

IOAS

IC Status: Modified

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-Request Form					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: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Program Support GenIC - ACF External Speaker Request Form		08/20/2025
NOA - ACF External Speaker Request Form		08/20/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].