ACF Evidence Capacity Support

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx Other-Instrument 1: Discussion guide
EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx Other-Instrument 1: Discussion guide
EvCap ORR ASFR Participant Protocol_Revised 1-5.docx Other-Instrument 2: Discussion guide
EvCap ORR ASFR Participant Protocol_Revised 1-5.docx Other-Instrument 2: Discussion guide
Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx Other-Instrument 2 Appendix - Screen
Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx Other-Instrument 2 Appendix - Screen
EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx SSA Prog Supp GenIC - ACF Evidence Capacity Support IC Document
EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx SSA Prog Supp GenIC - ACF Evidence Capacity Support IC Document
Change Request Template for GenICs_ORR ASFR_Clean.docx Change Request - ACF Evidence Capacity Support IC Document
Change Request Template for GenICs_ORR ASFR_Clean.docx Change Request - ACF Evidence Capacity Support IC Document

Information Collection (IC) Details

IC Title:	ACF Evidence Capacity Support	Agency IC Tracking Number:	OPRE/ORR

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Instrument 1: Discussion guide for the grant recipient interview	EvCap ORR ASFR Program Administrators Protocol_Revised 1-5.docx	Yes	Yes	Printable Only
Other-Instrument 2: Discussion guide for the refugee interview	EvCap ORR ASFR Participant Protocol_Revised 1-5.docx	Yes	Yes	Printable Only
Other-Instrument 2 Appendix - Screening Questions	Instrument 2 Appendix- Program Participant Screening Questions_Clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 115	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	121	46	75
Annual IC Time Burden (Hours)	80	5	75
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA Prog Supp GenIC - ACF Evidence Capacity Support	EvCap ORR ASFR OMB Part A_Revised 5-8_Clean.docx	05/13/2024
Change Request - ACF Evidence Capacity Support	Change Request Template for GenICs_ORR ASFR_Clean.docx	05/13/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.