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Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS)
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 237313
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202011-0970-002
IC 237313
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:
2024-01-23 - No material or nonsubstantive change to a currently approved collection
2023-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
INSTRUMENT 1. State Model Profile v2.docx
Other-
INSTRUMENT 2. Local Model Profile v2.docx
Other-
INSTRUMENT 3. Request for Staffing Information.docx
Other-
INSTRUMENT 4. State Telephone Interview Protocol COVID-19 Additions CLEAN v2.docx
Other-
INSTRUMENT 5. Local Telephone Interview Protocol COVID-19 Additions CLEAN v3.docx
Other-
Supporting Statement A - AMCS Study for OPRE Pilot with OIRA_July 2019 v6.docx
Supporting Statement A - AMCS Study - Formative generic
IC Document
Supporting Statement B - AMCS Study for OPRE Pilot with OIRA_July 2019 v3.docx
Supporting Statement B - AMCS Study - Formative generic
IC Document
NonSub Change Request AMCS May 2020 v3.docx
NonSub Change Memo - COVID Changes_AMCS_May 2020
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Assessing Models of Coordinated Services for Low-Income Children and Their Families (AMCS)
Agency IC Tracking Number:
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-
INSTRUMENT 1. State Model Profile v2.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 2. Local Model Profile v2.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 3. Request for Staffing Information.docx
Yes
Yes
Fillable Fileable
Other-
INSTRUMENT 4. State Telephone Interview Protocol COVID-19 Additions CLEAN v2.docx
No
Paper Only
Other-
INSTRUMENT 5. Local Telephone Interview Protocol COVID-19 Additions CLEAN v3.docx
No
Paper 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:
226
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
226
0
0
0
0
226
Annual IC Time Burden (Hours)
277
0
0
0
0
277
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - AMCS Study - Formative generic
Supporting Statement A - AMCS Study for OPRE Pilot with OIRA_July 2019 v6.docx
08/09/2019
Supporting Statement B - AMCS Study - Formative generic
Supporting Statement B - AMCS Study for OPRE Pilot with OIRA_July 2019 v3.docx
08/09/2019
NonSub Change Memo - COVID Changes_AMCS_May 2020
NonSub Change Request AMCS May 2020 v3.docx
05/13/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.