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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
ACF Behavioral Health Survey
Unchanged
500
73
0
Other-Survey
ACF Optional-Use Data Sharing Request Form
Unchanged
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
Unchanged
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
Unchanged
881
1076
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
Other-Instrument 7: Federal Summit Focus Group
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
Unchanged
35
18
0
Other-Survey
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection
Modified
4970
786
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
Unchanged
1262
122
0
Other-Survey
Other-Feedback Form
Feedback from Federal, State, Tribal, Local, and Territorial Human Services Offices on Emergency Preparedness and Response
Unchanged
1103
1655
0
Other-Focus Group Script: State Human Services Programs
Other-Focus Group Script: National Associations
Other-Focus Group Script: Researchers
Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey
Unchanged
145
145
0
Other-survey
Formative Data Collections for American Rescue Plan (ARP) Act Supplemental Funding Program Support
Unchanged
292
292
0
Other-Survey
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
Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment
Unchanged
120
77
0
Other-Survey
Other-Survey
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Funds - Feb 2023 Update
Unchanged
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
Unchanged
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
Needs Assessment Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings
New
345
114
0
Other-Survey
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)
Unchanged
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
Unchanged
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
Unchanged
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
Unchanged
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
Unchanged
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
Unchanged
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:
41382
21866
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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