NOA - Family Input

NOA_PgrSuptGenIC_TANF Family Input_0970-0531_4.5.23.pdf

Formative Data Collections for ACF Program Support

NOA - Family Input

OMB: 0970-0531

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NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

04/05/2023

Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:

Karl Mathias

FOR CLEARANCE OFFICER:

Sherrette Funn

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
02/23/2023
ACTION REQUESTED: Generic IC
TANF and Child Support Moving Forward: Further Incorporating Family Input
IC TITLE:
ICR REFERENCE NUMBER:

202302-0970-002

AGENCY ICR TRACKING NUMBER:
TITLE:

OPRE

Formative Data Collections for ACF Program Support

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0531

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 09/30/2025

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

44,913

54,152

1,082,970

New

44,913

54,152

1,082,970

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title
Healthy Marriage and
Responsible
Fatherhood Grantee
Data Collection Plan
Template (BUILD)
Strengthening the
Implementation of
Responsible
Fatherhood Programs
(SIRF)
Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS) – Case Study
of Parent Reflections
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
(PREP PYP Part 2 –
Local Eval templates)
Tribal Maternal, Infant,
and Early Childhood
Home Visiting
(TMIECHV) Grantee
Technical Assistance
(TA) Needs
Assessment
Human Trafficking
Youth Prevention
Education (HTYPE)
Demonstration Grant
Program
Implementation Surveys
Standard Evaluation
Survey for the National
Center for Early
Childhood
Development,
Teaching, and
Learning's
(NCECDTL's) Training
and Technical
Assistance Offerings
ACF Privacy and
Confidentiality Toolkit
Case Studies
Next Generation of
Enhanced Employment
Strategies Project MOMS Partnership
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP) (PREIS and TPREP
templates)

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp
678 / 0 / 113

3,157 / 0 / 851

147 / 0 / 240

750 / 0 / 30

38 / 0 / 38

2,658 / 0 / 11,539

195 / 0 / 1,500

41 / 0 / 33
255 / 0 / 1,404

420 / 0 / 84

IC Title
Rapid-Cycle Learning
Plan Template for
Community Services
Block Grant (CSBG)
Project Impact Grant
Recipients
Sexual Risk Avoidance
Education National
Evaluation Program
Components Impact
Study: Proof of Concept
Pilot Phase
Usability Testing of
Resources to Support
the Identification and
Care of Children with
Prenatal Substance or
Alcohol Exposure in the
Child Welfare System
OFA Training and
Technical Assistance
(TTA)
Personal Responsibility
Education Program
(PREP) Local
Evaluation Support
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds - Feb
2023 Update
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds for Tribal
Lead Agencies –
Exploration Stage
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds for Tribal
Lead Agencies in the
Developing Stage
Information to Inform
the Office of Child Care
about Implementation of
Child Care American
Rescue Plan Act
(ARPA) Funds for Tribal
Lead Agencies in the
Initial and Full
Implementation Stages
Strengthening the
Implementation of
Marriage and
Relationship Programs
(SIMR)

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp
64 / 0 / 48

336 / 0 / 792

375 / 0 / 21

111 / 0 / 666
80 / 0 / 24

153 / 0 / 312

265 / 0 / 265

265 / 0 / 265

265 / 0 / 265

1,895 / 0 / 1,320

IC Title
Administration for
Children and Families
External Speaker
Request Form
Data Collection to
Inform a Curriculum
Adaptation for the
Personal Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Project
Operation Allies
Welcome (OAW)
Resettlement State
Refugee Coordinator
(SRC) Monthly Report
Tribal Early Learning
Initiative (TELI)
Statement of Interest
Pandemic Emergency
Assistance Fund
(PEAF) Recipients
Feedback Survey
Family Economic
Mobility (FEM) Training
and Technical
Assistance Feedback
Multi-Site Study of
State-Tribal
Collaboration in Home
Visiting
Tribal Home Visiting
Continuous Quality
Improvement
Collaboratives
HMRF Grantee Site
Visits and Community
Group Listening
Sessions to Support
Race Equity for
Fatherhood,
Relationship, and
Marriage Programs to
Empower Black
Families (REFRAME)
Services for Survivors
of Torture Medical Care
Survey
TANF and Child
Support Moving
Forward: Lessons
Learned from the
COVID-19 Pandemic
Court Improvement
Program Court System
Structures
Humanitarian Response
Operating Plan
Listening Sessions
Title IV-E Tribal-State
Agreement Evaluation
Diaper Distribution
Demonstration and
Research Pilot Baseline
Data Collection

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp
30 / 0 / 60

120 / 0 / 204

600 / 0 / 300

90 / 0 / 45
101 / 0 / 135

59 / 0 / 500

63 / 0 / 42

138 / 0 / 138

277 / 0 / 168

23 / 0 / 35
86 / 0 / 93

1,777 / 0 / 7,053
485 / 0 / 485
7 / 0 / 40
221 / 0 / 980

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Low Income Household
Water Assistance
Program (LIHWAP)
Water Landscape and
Equity Research
Diaper Distribution
Demonstration and
Research Pilot
(DDDRP) Administrative
Data Infrastructure
Survey
ACF Behavioral Health
Survey
Feedback from CLASS
Video Pilot
TANF and Child
Support Moving
Forward: Further
Incorporating Family
Input
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
290 / 0 / 580

18 / 0 / 35

73 / 0 / 500
122 / 0 / 1,262
230 / 0 / 176

16,958


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