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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Diaper Distribution Demonstration and Research Pilot Baseline Data Collection
Agency IC Tracking Number:
OCS
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Interview Protocol
Instrument 2 - Partner Organization Interview_11.22.22.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 3 - Waitlist Survey_11.22.22.docx
Yes
Yes
Fillable Fileable
Other-Survey
Instrument 1 - Beneficiary Enrollment Survey_12.12.22_fnl Clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
980
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
980
0
0
0
0
980
Annual IC Time Burden (Hours)
221
0
0
0
0
221
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp
SSA - Formative for ACF Program Support_DDRP_11.22.22.docx
11/23/2022
SSB - DDDRP Formative GenIC Prog Supp
SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx
11/23/2022
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx
12/12/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.