United for Ukraine

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⚠️ Notice: This information collection may be referencing outdated material.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
U4U Survey Final.docx Other-Survey
UAU Survey Final_UKR_copy.docx Other-Translated Survey (Ukrainian)
SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx Supporting Statement A IC Document
SSB Formative for ACF Program Support U4U survey 2-27-23.docx Supporting Statement B IC Document
NonSub Change Request Template_ORR U4U Survey_fnl.docx NonSub Change - Translated Survey (Ukranian) IC Document

Information Collection (IC) Details

IC Title:	United for Ukraine	Agency IC Tracking Number:	ORR

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			U4U Survey Final.docx		Yes	Yes	Fillable Fileable
Other-Translated Survey (Ukrainian)			UAU Survey Final_UKR_copy.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: 800	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	800	800
Annual IC Time Burden (Hours)	136	136
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement A	SSA Template - Formative for ACF Program Support_UHP Assessment 2-27-23.docx	02/28/2023
Supporting Statement B	SSB Formative for ACF Program Support U4U survey 2-27-23.docx	02/28/2023
NonSub Change - Translated Survey (Ukranian)	NonSub Change Request Template_ORR U4U Survey_fnl.docx	01/24/2024

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