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Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 254583
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202408-0970-005
IC 254583
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-10-04 - No material or nonsubstantive change to a currently approved collection
2024-09-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
PEAF Instrument Questions_OMB Submission_3-11-22.docx
Other-Interview Qs
PEAF Instrument Questions_OMB Submission_3-11-22.docx
Other-Interview Qs
PEAF Instrument Questions_OMB Submission_3-11-22.docx
SSA - PEAF Recipients Feedback Survey
IC Document
PEAF Instrument Questions_OMB Submission_3-11-22.docx
SSA - PEAF Recipients Feedback Survey
IC Document
NOA_OFA PEAF Feedback_Prog Supp GenIC_0970-0531_3.30.22.pdf
NOA - PEAF Recipients Feedback Survey
IC Document
NOA_OFA PEAF Feedback_Prog Supp GenIC_0970-0531_3.30.22.pdf
NOA - PEAF Recipients Feedback Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pandemic Emergency Assistance Fund (PEAF) Recipients Feedback Survey
Agency IC Tracking Number:
OFA
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-Interview Qs
PEAF Instrument Questions_OMB Submission_3-11-22.docx
Yes
Yes
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:
135
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
135
0
0
0
0
135
Annual IC Time Burden (Hours)
101
0
0
0
0
101
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - PEAF Recipients Feedback Survey
PEAF Instrument Questions_OMB Submission_3-11-22.docx
07/11/2022
NOA - PEAF Recipients Feedback Survey
NOA_OFA PEAF Feedback_Prog Supp GenIC_0970-0531_3.30.22.pdf
07/11/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.