Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ACF Behavioral Health Survey New 500 73 0 Other-Survey
ACF Optional-Use Data Sharing Request Form New 100 300 0 Other-
ACF Privacy and Confidentiality Toolkit Case Studies Unchanged 33 41 0 Other-Survey
Other-Interviews
Administration for Children and Families External Speaker Request Form Unchanged 60 30 0 Other-Request Form
Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment New 100 33 0 Other-survey
Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) (PREP PYP Part 2 – Local Eval templates) Unchanged 30 750 0 Other-Template
Other-Tables
Other-template
Other-Tables
Community Injects Related to Local Environmental Justice and Climate Change Impacts New 831 1248 0 Other-Instrument 1: Interview Script
Other-Instrument 2: Focus Group Script
Other-Instrument 3: Group Interview Scripts
Other-Instrument 4: Outreach Email
Other-Instrument 5: Invitation Email
Court Improvement Program Court System Structures Unchanged 7053 1777 0 Other-Instrument 1: CIP Survey for Court System Structures
Other-Instrument 2: CIP Local Stakeholder Survey
Data Collection to Inform a Curriculum Adaptation for the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) Project Unchanged 204 120 0 Other-Fidelity Log
Other-interview guide
Other-Focus Group Guide
Diaper Distribution Demonstration and Research Pilot (DDDRP) Administrative Data Infrastructure Survey New 35 18 0 Other-Survey
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection Unchanged 980 221 0 Other-Interview Protocol
Other-Survey
Other-Survey
Family Economic Mobility (FEM) Training and Technical Assistance Feedback Unchanged 500 59 0 Other-Feedback survey
Other-Feedback survey
Other-Interview Questions
Feedback from CLASS Video Pilot New 1262 122 0 Other-Survey
Other-Feedback Form
Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response New 1103 1655 0 Other-Focus Group Script: State Human Services Programs
Other-Focus Group Script: National Associations
Other-Focus Group Script: Researchers
HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME) Unchanged 168 277 0 Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Listening Session Protocol
Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD) Unchanged 113 678 0 Other-template
Human Trafficking Youth Prevention Education (HTYPE) Demonstration Grant Program Implementation Surveys Unchanged 11539 2658 0 Other-Survey
Other-Survey
Other-Survey
Other-Survey
Humanitarian Response Operating Plan Listening Sessions Unchanged 485 485 0 Other-Listening Sessions Protocol
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update Modified 312 153 0 Other-Child Care Stabilization Grants: Interviewer Guide (Attachment A)
Other-Child Care Supplemental Funds: Interviewer Guide (Attachment B)
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Developing Stage Unchanged 265 265 0 Other-Interview Guide
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies in the Initial and Full Implementation Stages Unchanged 265 265 0 Other-Interview Guide
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds for Tribal Lead Agencies – Exploration Stage Unchanged 265 265 0 Other-Interview Guide
Justification for the Collection of Information for Local Evaluations as part of the Personal Responsibility Education Program (PREP): Promising Youth Programs (PYP) - (PREIS and TPREP templates) Unchanged 84 420 0 Other-Template
Other-Template
Other-Template
Other-Template
Low Income Household Water Assistance Program (LIHWAP) Water Landscape and Equity Research New 580 290 0 Other-Survey
Other-Interview Script
Multi-Site Study of State-Tribal Collaboration in Home Visiting Unchanged 42 63 0 Other-Interview Protocol
Next Generation of Enhanced Employment Strategies Project - MOMS Partnership Unchanged 1404 255 0 Other-Survey
Other-Focus Group
Other-Survey
Other-Focus Group
Other-Survey
Other-Focus Group
Other-Survey
Other-Survey
Other-Focus Group
Other-Focus Group
OFA Training and Technical Assistance (TTA) Unchanged 666 111 0 Other-
ORR - Resource Guides for Discretionary Grant Programs Division of Refugee Services (DRS) New 171 114 0 Other-Questionnaire
Operation Allies Welcome (OAW) Resettlement State Refugee Coordinator (SRC) Monthly Report Unchanged 300 600 0 Other-Survey
Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey Unchanged 135 101 0 Other-Interview Qs
Personal Responsibility Education Program (PREP) Local Evaluation Support Unchanged 24 80 0 Other-Template
Other-Template
Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients Unchanged 48 64 0 Other-Template
Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment New 440 110 0 Other-Survey
Services for Survivors of Torture Medical Care Survey Unchanged 35 23 0 Other-Survey
Sexual Risk Avoidance Education National Evaluation Program Components Impact Study: Proof of Concept Pilot Phase Unchanged 792 336 0 Other-Survey
Other-Survey
Other-Interview Guide
Other-Focus Group Protocol
Standard Evaluation Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings Unchanged 1500 195 0 Other-Survey Bank Items
Strengthening the Implementation of Marriage and Relationship Programs (SIMR) Unchanged 1320 1895 0 Other-Survey
Other-Focus Group Protocol
Other-Semi-Structured Interview Guide
Strengthening the Implementation of Responsible Fatherhood Programs (SIRF) Unchanged 851 3157 0 Other-observation tool
Other-reflections
Other-reflections
Other-discussion topics
Other-discussion topics
Other-Non-Grantee Use of nFORM’s Applicant Characteristics Survey
Other-Non-Grantee Use of nFORM – Staff Data Entry
Other-Non-Grantee Use of nFORM’s Program Operations Survey
TANF and Child Support Moving Forward: Further Incorporating Family Input New 176 230 0 Other-Instrument 1: Expression of Interest Form
Other-Instrument 2: Conversation Guide
Other-Instrument 3: Questionnaire
Other-Instrument 4: Interview Guide
Other-Instrument 5: Conversation Guide
TANF and Child Support Moving Forward: Lessons Learned from the COVID-19 Pandemic Unchanged 93 86 0 Other-Questionnaire
Other-Questionnaire
Other-Interview Guide
Other-Interview Guide
Other-Interview Guide
Other-Interview Guide
The Adulthood Preparation Subjects (APSs) Study of Dosage and Cultural Relevance New 104 135 0 Other-Interview Guide
Other-Topic Guide
The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Professional Partner Groups New 150 156 0 Other-Selection Surveys
Other-Initial Meeting Questions
Other-Post-Meeting Feedback Questions
Title IV-E Tribal-State Agreement Evaluation Unchanged 40 7 0 Other-Survey
Tribal Early Learning Initiative (TELI) Statement of Interest Unchanged 45 90 0 Other-Statement of Interest
Tribal Home Visiting Continuous Quality Improvement Collaboratives Unchanged 138 138 0 Other-template
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment Unchanged 38 38 0 Other-Survey
United for Ukraine New 800 136 0 Other-Survey
Usability Testing of Resources to Support the Identification and Care of Children with Prenatal Substance or Alcohol Exposure in the Child Welfare System Unchanged 21 375 0 Other-Interview Protocol
Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS) – Case Study of Parent Reflections Unchanged 240 147 0 Other-Screener
Other-Discussion Guide
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 36440 20845 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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