Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
"Research Ready Grantee" Intake Form New 320 27 0 Other-Survey/Form
ACF Behavioral Health Survey Unchanged 500 73 0 Other-Survey
ACF Data Request Unchanged 100 300 0 Other-
ACF Evidence Capacity Support Unchanged 121 80 0 Other-Instrument 1: Discussion guide for the grant recipient interview
Other-Instrument 2: Discussion guide for the refugee interview
Other-Instrument 2 Appendix - Screening Questions
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
Advancing Best Practices and Cultural Relevance of Healthy Marriage and Responsible Fatherhood Programs for Indigenous Communities (I-HMRF) Unchanged 100 133 0 Other-Focus Group Ptotocol
Other-Interview Protocol
Other-Focus Group
Other-Photovoice Guide
Other-Talking Circle
Center for States GovDelivery Subscription Form Unchanged 2000 100 0 Other-Subscription Form
Child Care and Development Fund (CCDF) Application for Intensive Consultation - Information Technology Strategic Roadmap Development Unchanged 87 17 0 Other-Application
Child Care and Development Fund (CCDF) Tribal Listening Sessions on Use of Information Technology Unchanged 150 150 0 Other-Discussion Qs
Child Care and Development Fund (CCDF) 101: CCDF Fundamentals Pre/Post Self-Assessment Unchanged 100 33 0 Other-survey
Child Care and Development Fund (CCDF) Information Technology Environment Scan Unchanged 160 60 0 Other-Survey
Child Care and Development Fund (CCDF) Information Technology Matters 1 Unchanged 51 51 0 Other-Discussion Qs
Child Care and Development Fund (CCDF) Information Technology Matters 2 Unchanged 51 51 0 Other-Discussion Questions
Child Care and Development Fund (CCDF) Information Technology Matters 3 New 51 51 0 Other-Discussion Questions
Child Welfare Information Gateway Gov Delivery Subscription Profile Form Unchanged 1000 50 0 Other-Subscription Form
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 (DDDRP) Assessment Unchanged 3852 695 0 Other-Interview protocol
Other-Interview protocol
Other-Focus group protocol
Other-Template
Other-Recruitment Tool
Instruction
Other-Photo release and instructions
Other-Discussion Guide
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection Unchanged 10500 683 0 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 After the Office of Planning, Research, and Evaluation's 2024 Research and Evaluation Conference on Self-Sufficiency (RECS) Unchanged 174 60 0 Other-Survey
Other-Focus Group Guide
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
Feedback on Materials for Father Involvement National Media Campaign Unchanged 594 143 0 Other-Other
Other-Discussion Guide
Feedback on the HomVEE Criteria for Evidence-Based Early Childhood Home Visiting Models Unchanged 73 73 0 Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Focus Group Protocol
Other-Listening Session Protocol
Fiscal Responsibility Act TANF Pilot Program Information Collection Unchanged 40 400 0 Other-Request
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
Identification of Current Infant and Early Childhood Mental Health Consultation (IECMHC) Services and Points of Contact Across the U.S. and U.S. Territories. Unchanged 271 159 0 Other-Survey
Other-Survey
Other-Survey
Other-Interview Protocol
Immigration Legal Service for Afghan Arrivals – Training Experience Survey and Topic-Based Knowledge Assessment Unchanged 120 77 0 Other-Survey
Other-Survey
Immigration Legal Services for Afghan Arrivals – Legal Service Provider Interest Form Unchanged 50 4 0 Other-Survey
Immigration Legal Services for Afghan Arrivals – Technical Assistance Interest Form Unchanged 120 16 0 Other-Interest Form
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
Information to Inform the Office of Child Care about Implementation of Child Care American Rescue Plan Act (ARPA) Supplemental Funds – Check-In Call Interview Questions Unchanged 624 104 0 Other-Interview Qs
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
Lookback Survey of Wilson Fish TANF Coordination Program Grant Recipients Over the Initial Project Period Unchanged 21 7 0 Other-Survey
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
National Center on Afterschool and Summer Enrichment (NCASE) Out-of-School Time Workforce Focus Groups Unchanged 108 108 0 Other-Focus Group Protocol
National Youth in Transition Database (NYTD) State Partners and Supplemental Data Survey Unchanged 52 17 0 Other-Survey
Needs Assessment Survey for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings Unchanged 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
Office of Child Care Technical Assistance Interest Form: Improving Child Care and Part C Integration or Disability Inclusion in Child Care Unchanged 56 28 0 Other-Interest Form
Other-Interest Form
Office of Family Violence Prevention and Services Outcome Measurement Listening Session Unchanged 30 45 0 Other-Interview Guide
Office of Family Violence Prevention and Services Formula Grantees Performance Progress Report (PPR) Listening Sessions New 460 460 0 Other-OFVPS State/Territory Grantees PPR Listening Session Guide
Other-OFVPS Tribe and Tribal Organization Grantees PPR Listening Session Guide
Other-OFVPS Coalition Grantees PPR Listening Session Guide
Office of Head Start Program Information Report Data Quality Focus Groups Unchanged 48 72 0 Other-Focus Group
Other-Focus Group
Office of Refugee Resettlement (ORR) Unaccompanied Children (UC) Program Youth Engagement Focus Groups Unchanged 50 100 0 Other-Focus Group Guide
Office of Refugee Resettlement Unaccompanied Children Bureau Normalcy Integration Survey Unchanged 3600 1800 0 Other-Survey
Other-Survey (Spanish)
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
Pathways to Work Evidence Clearinghouse Feedback Sessions Unchanged 48 96 0 Other-Discussion Questions
Personal Responsibility Education Program (PREP) Local Evaluation Support Unchanged 24 80 0 Other-Template
Other-Template
Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments Unchanged 262 184 0 Other-Survey
Other-Template
Other-Progress Tool
Other-Progress Tool
Public Access to Diaper Information Unchanged 22 11 0 Other-Survey
Rapid-Cycle Learning Plan Template for Community Services Block Grant (CSBG) Project Impact Grant Recipients Unchanged 48 64 0 Other-Template
Refugee Support Services Refugee Health Promotion Set-Aside Programs Assessment Guide Unchanged 85 85 0 Other-Interview
Other-Questionnaire
Other-Focus Group Protocol
Refugee Support Services Youth Mentoring Set-Aside Programs Assessment Guides Unchanged 215 132 0 Other-Survey
Other-Interview Protocol
Other-Questionnaire
Other-Guide
Other-Questionnaire
Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template Unchanged 11 88 0 Other-Template
Runaway and Homeless Youth Training and Technical Assistance Center (RHYTTAC) National Needs Assessment Unchanged 440 110 0 Other-Survey
SAVES Center Data Collection for Program Improvement Unchanged 1464 4 0 Other-Instrument 1: Child Support Administrative Data Extract
Other-Instrument 2: Child Support Policies and Practices Survey
Other-Instrument 3: SAVES Center Grantee Meeting T/TA Feedback Survey
Other-Instrument 4: SAVES Center Learning Community Call T/TA Feedback 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 Marriage and Relationship Programs (SIMR) - Analysis Plan Template Unchanged 60 360 0 Other-Template
Instruction
Other-Template
Instruction
Other-Template
Instruction
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
Supporting Coordinated Benefits Delivery to Foster Whole Family Approaches Unchanged 576 296 0 Other-Questionnaire
Other-Interview Protocol
Supporting Family Economic Well-Being through Home Visiting (HomeEc) Formative Evaluation Unchanged 876 222 0 Other-Screener
Other-Interview Guide
Other-Discussion Guide
Other-Interview Guide
Other-Survey
Other-Survey
Survey for Staff Supporting Infants and Toddlers for the National Center for Early Childhood Development, Teaching, and Learning's (NCECDTL's) Training and Technical Assistance Offerings Unchanged 600 198 0 Other-Survey
Survey on Tribal Homelessness and Housing Support for Communities that Utilize Tribal TANF Modified 76 25 0 Other-Survey
TANF Data Collaborative (TDC) 2.0 – Formative Data Collection New 60 40 0 Other-Survey
Other-Focus Group Protocol
TANF Pilot Convenings Unchanged 200 300 0 Other-Listening Session Protocol
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 Home Visiting Program Information Collection for Revision to Community Needs Readiness Assessment (CNRA) Unchanged 15 23 0 Other-Focus Group Protocol
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment Unchanged 38 38 0 Other-Survey
Unaccompanied Children Office of the Ombuds Report of a Concern Unchanged 600 300 0 Other-
Unaccompanied Children Program Care Providers Education Services Survey Unchanged 169 85 0 Other-Survey
United for Ukraine Unchanged 800 136 0 Other-Survey
Other-Translated Survey (Ukrainian)
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: 66565 29273 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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