View Information Collection (IC)
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Administration for Children and Families Youth Programs – Sexual Orientation and Gender Identity (SOGI) Items
Agency IC Tracking Number:
IC Status:
Modified
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-Screener - English Version
Instrument 1_Youth Screener for Cognitive Interviews_CLEAN.docx
Yes
Yes
Fillable Fileable
Other-Screener - Spanish Version
Instrument 1_Youth Screener for Cognitive Interviews_DRAFT_CLEAN_es-us - SPANISH.docx
Yes
Yes
Fillable Fileable
Other-Cognitive Interview and Focus Group Protocol (English Version)
Instrument 2. Cognitive Interview and Focus Group Protocol_clean.docx
Yes
Yes
Printable Only
Other-Cognitive Interview and Focus Group Protocol (Spanish Version)
Instrument 2. Cognitive Interview and Focus Group Protocol_clean_es-US - SPANISH.docx
Yes
Yes
Printable Only
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:
278
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
445
0
0
0
0
445
Annual IC Time Burden (Hours)
255
0
0
0
0
255
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Administration for Children and Families Youth Programs – SOGI Items
Pretest Generic_0970-0355_SSA GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2014_CLEAN.docx
12/11/2024
SSB - Administration for Children and Families Youth Programs – SOGI Items
Pretest Generic_0970-0355_SSB GenIC- PREP PLUS SOGI_nonsubstantivechange_12.10.2024_CLEAN.docx
12/11/2024
Appendix A: Outreach to participants (English)
Appendix A_Outreach Materials.docx
10/28/2024
Appendix A: Outreach to participants (Spanish)
Appendix A_Outreach Materials_es-US - SPANISH.docx
10/28/2024
Appendix B: Consent and Assent Forms (English)
Appendix B_Consent and Assent Forms_clean.docx
12/13/2024
Appendix B: Consent and Assent Forms (Spanish)
Appendix B_Consent and Assent Forms_SPANISH_clean_12.12.24.docx
12/13/2024
Appendix C: SOGI Questions for Pretest (English)
Appendix C_SOGI Questions for pretest.docx
10/28/2024
Appendix C: SOGI Questions for Pretest (Spanish)
Appendix C_SOGI Questions for pretest_es-US - SPANISH.docx
10/28/2024
Public Comment on Umbrella Pretesting Revision - SOGI Testing
ACF SOGI Clearance Comment 9.25.24.pdf
10/28/2024
NonSub Change - ACF Youth Programs SOGI Items Pretesting
Pretest Generic_0970-0355_Nonsub change memo_121224.docx
12/13/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.