Prevention Services Data Collection

OMB 0970-0529

Section 471(e)(4)(E) of the Social Security Act (the Act) (42 U.S.C. 671) as amended by Public Law 115–123 requires state and tribal child welfare agencies to collect and report to the Administration for Children and Families (ACF) information on children receiving prevention and family services and programs.

The latest form for Prevention Services Data Collection expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Prevention Services Data Collection Form and Instruction
Supporting Statement FFPSA 3.4.22_final.docx Supporting Statement A
Prevention Services Data Collection Form and Instruction

All Historical Document Collections

202203-0970-001 Approved with change	Revision of a currently approved collection	2022-03-09
202108-0970-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-08-05
201905-0970-003 Approved with change	New collection (Request for a new OMB Control Number)	2019-05-21