Constituent Engagement Related to Use of AI

Administration for Children and Families Generic for Engagement Efforts

Documents and Forms

Document Name Document Type
Instrument 1. Focus groups with state leaders and others.docx Other-Focus Group Protocol
Instrument 1. Focus groups with state leaders and others.docx Other-Focus Group Protocol
Instrument 2. Focus groups with public benefit participants.docx Other-Focus Group Protocol
Instrument 2. Focus groups with public benefit participants.docx Other-Focus Group Protocol
Instrument 3. Survey of AI opinions--participants.docx Other-Survey
Instrument 3. Survey of AI opinions--participants.docx Other-Survey
Instrument 4. Survey of AI opinions--nonparticipants.docx Other-Survey
Instrument 4. Survey of AI opinions--nonparticipants.docx Other-Survey
Instrument 5. Screener for participants.docx Other-Screener
Instrument 5. Screener for participants.docx Other-Screener
SSA AI Constituent Engagement.docx SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI IC Document
SSA AI Constituent Engagement.docx SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI IC Document
SSB AI Constituent Engagement.docx SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI IC Document
SSB AI Constituent Engagement.docx SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI IC Document
Appendix 1. Outreach emails.docx Appendix 1: Outreach materials IC Document
Appendix 1. Outreach emails.docx Appendix 1: Outreach materials IC Document

Information Collection (IC) Details

IC Title:	Constituent Engagement Related to Use of AI	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Protocol	Instrument 1. Focus groups with state leaders and others.docx	Yes	Yes	Printable Only
Other-Focus Group Protocol	Instrument 2. Focus groups with public benefit participants.docx	Yes	Yes	Printable Only
Other-Survey	Instrument 3. Survey of AI opinions--participants.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instrument 4. Survey of AI opinions--nonparticipants.docx	Yes	Yes	Fillable Fileable
Other-Screener	Instrument 5. Screener for participants.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: 700	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	1,225	1,225
Annual IC Time Burden (Hours)	182	182
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	SSA AI Constituent Engagement.docx	07/08/2024
SSB - Engagement Efforts GenIC: Constituent Engagement Related to Use of AI	SSB AI Constituent Engagement.docx	07/08/2024
Appendix 1: Outreach materials	Appendix 1. Outreach emails.docx	07/08/2024

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