OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Diaper Distribution Demonstration and Research Pilot Baseline Data Collection

IC 257094 under ICR 202302-0970-002 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-Interview Protocol
Other-Interview Protocol
Other-Survey
Other-Survey
Other-Survey
Other-Survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Diaper Distribution Demonstration and Research Pilot Baseline Data Collection OCS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Protocol Instrument 2 - Partner Organization Interview_11.22.22.docx Yes Yes Fillable Fileable
Other-Survey Instrument 3 - Waitlist Survey_11.22.22.docx Yes Yes Fillable Fileable
Other-Survey Instrument 1 - Beneficiary Enrollment Survey_12.12.22_fnl Clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

980 0
   
Individuals or Households
 
   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 980 0 0 0 0 980
Annual IC Time Burden (Hours) 221 0 0 0 0 221
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp SSA - Formative for ACF Program Support_DDRP_11.22.22.docx 11/23/2022
SSB - DDDRP Formative GenIC Prog Supp SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx 11/23/2022
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx 12/12/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.