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pdfNOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date
07/06/2022
Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:
Karl Mathias
FOR CLEARANCE OFFICER:
Terry Clark
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
06/29/2022
ACTION REQUESTED: Generic IC
HMRF Grantee Site Visits and Community Group Listening Sessions to Support Race Equity for
IC TITLE:
Fatherhood, Relationship, and Marriage Programs to Empower Black Families (REFRAME)
ICR REFERENCE NUMBER:
202206-0970-013
AGENCY ICR TRACKING NUMBER:
TITLE:
OPRE
Formative Data Collections for ACF Program Support
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved with change
OMB CONTROL NUMBER:
0970-0531
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 07/31/2022
BURDEN:
DISCONTINUE DATE:
RESPONSES
HOURS
COSTS
Previous
26,283
30,285
521,249
New
26,283
30,285
521,249
Change due to New Statute
0
0
0
Change due to Agency Discretion
0
0
0
Change due to Agency Adjustment
0
0
0
Change due to PRA Violation
0
0
0
Difference
TERMS OF CLEARANCE:
Terms of the Generic ICR remain in effect.
OMB Authorizing Official:
Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs
IC Title
State Department of
Education Contacts
Form
Supporting Working
Families: ACF
Roundtables on
Improving Access to
High-Quality Child Care
Feedback on Materials
for Father Involvement
National Media
Campaign
Building Capacity to
Evaluate Child Welfare
Community
Collaborations to
Strengthen and
Preserve Families
(CWCC) Grantee Local
Evaluation Plan and
Implementation Plan
Templates
Tribal Continuous
Quality Improvement
Collaboratives
Survey of Higher
Education Instructors to
Support the
Development of
Teaching Materials
Based on OPRE's
Research and
Evaluation
Using Concept Mapping
to Develop a Theory to
Describe the Work of
the National Domestic
Violence Hotline with
Family and Friends of
Victims/Survivors –
Formative Data
Collection
OFA Training and
Technical Assistance
(TTA)
Communications Focus
Groups for Remaking
the Safety Net
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP) OCTOBER 2020
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP) MARCH 2020
Form No.
List of ICs
Form Name
CFR Citation
Hrs/$/Resp
54 / 0 / 54
2,500 / 0 / 1,000
65 / 0 / 66
162 / 0 / 36
950 / 0 / 380
88 / 0 / 350
159 / 0 / 360
136 / 0 / 136
2,074 / 0 / 6,032
33 / 0 / 24
420 / 0 / 84
IC Title
Form No.
List of ICs
Form Name
CFR Citation
Hrs/$/Resp
Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS) – Case Study
of Parent Reflections
Office of Early
Childhood Development
Radical Family
Engagement National
Stakeholder Meeting
Fathers and Continuous
Learning in Child
Welfare Project
Supporting Partnerships
to Advance Research
and Knowledge (Project
SPARK)
Healthy Marriage and
Responsible
Fatherhood Grantee
Data Collection Plan
Template
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Voices of Freedom
147 / 0 / 240
Tribal Maternal, Infant,
and Early Childhood
Home Visiting
(TMIECHV) Grantee
Technical Assistance
(TA) Needs
Assessment
Strengthening the
Implementation of
Marriage and
Relationship Programs
(SIMR)
Human Trafficking
Youth Prevention
Education (HTYPE)
Demonstration Grant
Program
Implementation Surveys
Low Income Household
Water Assistance
Program (LIHWAP)
Program Development
Strengthening the
Implementation of
Responsible
Fatherhood Programs
(SIRF)
Strengthening the
Implementation of
Responsible
Fatherhood Programs
(SIRF)
38 / 0 / 38
55 / 0 / 110
1,225 / 0 / 2,449
364 / 0 / 310
678 / 0 / 113
750 / 0 / 30
330 / 0 / 220
1,895 / 0 / 1,320
2,658 / 0 / 11,539
176 / 0 / 220
3,157 / 0 / 6,808
3,157 / 0 / 851
IC Title
Information to Inform
the Office of Child Care
about Implementation of
Child Care Stabilization
Grants
Youth Survey of
Relationships,
Education, and
Behavior
Standard Evaluation
Survey for the National
Center for Early
Childhood
Development,
Teaching, and
Learning's
(NCECDTL's) Training
and Technical
Assistance Offerings
Runaway and
Homeless Youth
Training and Technical
Assistance Center
(RHYTTAC) National
Needs Assessment
ACF Data Governance
Consulting & Support
Project
July 2021 Head Start
Survey – Transitioning
to In-Person Service
Delivery
Tribal Continuous
Quality Improvement
Collaboratives Process
Study
Needs Assessment
Listening Sessions for
the National Center for
Early Childhood
Development,
Teaching, and
Learning's
(NCECDTL's) Training
and Technical
Assistance Offerings
Unaccompanied
Children Licensed
Provider Engagement
for External Recruiting
Efforts
Information to Inform
the Immediate Office of
the Assistant Secretary
about implementation of
the American Rescue
Plan Act
Florida Domestic
Violence State Coalition
Community Stakeholder
Feedback (Virtual Town
Halls and Online
Survey)
Form No.
List of ICs
Form Name
CFR Citation
Hrs/$/Resp
103 / 0 / 312
210 / 0 / 500
195 / 0 / 1,499
180 / 0 / 360
30 / 0 / 30
25 / 0 / 150
22 / 0 / 130
20 / 0 / 20
8 / 0 / 50
402 / 0 / 600
450 / 0 / 500
IC Title
Next Generation of
Enhanced Employment
Strategies Project MOMS Partnership
Sexual Risk Avoidance
Education Grantee
COVID-19 Interviews
Sexual Risk Avoidance
Education National
Evaluation Program
Components Impact
Study: Proof of Concept
Pilot Phase
Engaging Young People
With Lived Experience
in the Child and Family
Services Review
(CFSR) Process
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds
Rapid-Cycle Learning
Plan Template for
Community Services
Block Grant (CSBG)
Project Impact Grant
Recipients
Family Violence
Prevention and
Services Act Resource
Center Grantee
Feedback Questions for
Virtual Listening
Sessions
Usability Testing of
Resources to Support
the Identification and
Care of Children with
Prenatal Substance or
Alcohol Exposure in the
Child Welfare System
Virtual Home Visiting
Roundtable Discussions
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds for Tribal
Lead Agencies
Look Beneath the
Surface (LBS)
Campaign Stakeholder
Feedback Interviews
Survey to Inform Office
of Head Start Data
Collection Activities and
Training and Technical
Assistance
Personal Responsibility
Education Program
(PREP) Local
Evaluation Support
Form No.
List of ICs
Form Name
CFR Citation
Hrs/$/Resp
255 / 0 / 1,404
150 / 0 / 150
336 / 0 / 792
140 / 0 / 80
156 / 0 / 312
64 / 0 / 48
53 / 0 / 35
375 / 0 / 21
300 / 0 / 150
265 / 0 / 265
77 / 0 / 77
63 / 0 / 500
80 / 0 / 24
IC Title
Afghan Arrivals Influx
Assessment Guides
Feedback from Head
Start (HS) American
Indian and Alaska
Native (AIAN) SelfReview
Operation Allies
Welcome (OAW)
Survey of Resettled
Afghans
ACF Privacy and
Confidentiality Toolkit
Case Studies - Updated
March 2022
Feedback on U.S.
Repatriation Program
Implementation and
Services
Pandemic Emergency
Assistance Fund
(PEAF) Recipients
Feedback Survey
Operation Allies
Welcome (OAW)
Resettlement State
Refugee Coordinator
(SRC) Monthly Report
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
Data Collection to
Inform a Curriculum
Adaptation for the
Personal Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Project
Feedback on Family
Violence Prevention
and Services Act
(FVPSA) American
Rescue Plan (ARP)
Financial Grants
Management Training
ACF Evidence Capacity
Support: Survey of
Survivors of Torture
Grantees
Tribal Early Learning
Initiative (TELI)
Statement of Interest
Form No.
List of ICs
Form Name
CFR Citation
Hrs/$/Resp
693 / 0 / 493
74 / 0 / 78
340 / 0 / 2,000
41 / 0 / 33
691 / 0 / 928
101 / 0 / 135
600 / 0 / 300
265 / 0 / 265
120 / 0 / 204
162 / 0 / 972
70 / 0 / 105
90 / 0 / 30
IC Title
Form No.
List of ICs
Form Name
CFR Citation
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds for Tribal
Lead Agencies in the
Initial and Full
Implementation Stages
- Informs
Administration for
Children and Families
External Speaker
Request Form
ACF American Rescue
Plan Tribal Learning
Collaborative:
Leveraging Grant
Flexibilities and
Promoting Innovation in
Pandemic Recovery
Runaway and
Homeless Youth
Training and Technical
Assistance Center
(RHYTTAC) National
Needs Assessment
Comprehensive
Community Services
Block Grant (CSBG)
Training and Technical
Assistance (T/TA)
Needs Assessment
Multi-Site Study of
State-Tribal
Collaboration in Home
Visiting
Family Economic
Mobility (FEM) Training
and Technical
Assistance Feedback
Office of Family
Assistance Training and
Technical Assistance
(TTA)
Tribal Home Visiting
Continuous Quality
Improvement
Collaboratives
HMRF Grantee Site
Visits and Community
Group Listening
Sessions to Support
Race Equity for
Fatherhood,
Relationship, and
Marriage Programs to
Empower Black
Families (REFRAME)
Services for Survivors
of Torture Medical Care
Survey
Total Hours Actually Used for Information Collections Under Currently Approved ICR:
Hrs/$/Resp
265 / 0 / 265
30 / 0 / 60
338 / 0 / 450
103 / 0 / 205
428 / 0 / 1,018
63 / 0 / 42
59 / 0 / 500
111 / 0 / 666
46 / 0 / 46
277 / 0 / 168
23 / 0 / 35
30,220
File Type | application/pdf |
File Modified | 2022-07-06 |
File Created | 2022-07-06 |