Diaper Distribution Demonstration and Research Pilot Baseline Data Collection

Formative Data Collections for ACF Program Support

OMB: 0970-0531

IC ID: 257094

⚠️ Notice: This information collection may be referencing outdated material.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

2024-11-12 - No material or nonsubstantive change to a currently approved collection
2024-10-04 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
DDDRP_Instrument 1 - Beneficiary Enrollment Survey_11-28-23_CLEAN.docx Other-Survey
DDDRP_Instrument 1 - Beneficiary Enrollment Survey_11-28-23_CLEAN.docx Other-Survey
DDDRP_SSA - GenIC ACF Program Support_Chg Req_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
DDDRP_SSA - GenIC ACF Program Support_Chg Req_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.30.23_clean.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.30.23_clean.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx Change Request - DDDRP GenIC Baseline - # Respondents IC Document
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx Change Request - DDDRP GenIC Baseline - # Respondents IC Document
Change Request - DDDRP OMB #0970-0531 - Aug 2023.docx Change Request - DDDRP GenIC Baseline - Unique Identifier and Consent Language IC Document
Change Request - DDDRP OMB #0970-0531 - Aug 2023.docx Change Request - DDDRP GenIC Baseline - Unique Identifier and Consent Language IC Document
DDDRP_Change Request_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx Change Request - DDDRP GenIC Beneficiary Enrollment Survey – Follow-up IC Document
DDDRP_Change Request_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx Change Request - DDDRP GenIC Beneficiary Enrollment Survey – Follow-up IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Agency IC Tracking Number:	OCS

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-Survey			DDDRP_Instrument 1 - Beneficiary Enrollment Survey_11-28-23_CLEAN.docx		Yes	Yes	Fillable Fileable

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: 6,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	6,400	6,400
Annual IC Time Burden (Hours)	1,069	1,069
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp	DDDRP_SSA - GenIC ACF Program Support_Chg Req_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx	11/30/2023
SSB - DDDRP Formative GenIC Prog Supp	SSB - Formative for ACF Program Support_DDDRP_11.30.23_clean.docx	11/30/2023
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx	12/12/2022
Change Request - DDDRP GenIC Baseline - # Respondents	Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx	07/24/2023
Change Request - DDDRP GenIC Baseline - Unique Identifier and Consent Language	Change Request - DDDRP OMB #0970-0531 - Aug 2023.docx	08/09/2023
Change Request - DDDRP GenIC Beneficiary Enrollment Survey – Follow-up	DDDRP_Change Request_Follow Up Benef Enrollment Survey_0970-0531_11.30.23.docx	11/30/2023

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