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ACF Evidence Capacity Support
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 264404
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202412-0970-005
IC 264404
( )
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 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
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ACF Evidence Capacity Support
Agency IC Tracking Number:
OPRE/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-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
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:
115
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
121
0
0
0
0
121
Annual IC Time Burden (Hours)
80
0
0
0
0
80
Annual IC Cost Burden (Dollars)
0
0
0
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.