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Diaper Distribution Demonstration and Research Pilot Baseline Data Collection OCS
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey DDDRP_Instrument 1 - Beneficiary Enrollment Survey_11-28-23_CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

6,400 0
   
Individuals or Households
 
   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 6,400 0 1,430 0 0 4,970
Annual IC Time Burden (Hours) 1,069 0 283 0 0 786
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp DDDRP_SSA - GenIC ACF Program Support_Chg Req_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx 11/30/2023
SSB - DDDRP Formative GenIC Prog Supp SSB - Formative for ACF Program Support_DDDRP_11.30.23_clean.docx 11/30/2023
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
Change Request - DDDRP GenIC Baseline - # Respondents Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx 07/24/2023
Change Request - DDDRP GenIC Baseline - Unique Identifier and Consent Language Change Request - DDDRP OMB #0970-0531 - Aug 2023.docx 08/09/2023
Change Request - DDDRP GenIC Beneficiary Enrollment Survey – Follow-up DDDRP_Change Request_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx 11/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.