Information Collection Request

Generic for ACF Program Monitoring Activities

ICR 202304-0970-006 · OMB 0970-0558 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0558 can be found here:

2026-04-09 - No material or nonsubstantive change to a currently approved collection
2026-04-07 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form 1 Office of Head Start Improper Payment Reviews – Update 2023 Form	Unchanged
Form 1 Office of Head Start Improper Payment Reviews – Update 2023 Form	Unchanged
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form	Unchanged
Form 1 Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form	Unchanged
Form 1 Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction	Unchanged
Form 1 Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction	Unchanged
Form M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form	Unchanged
Form M-16 Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form	Unchanged
Form M-11P Office of Refugee Resettlement's Staff Questionnaire - Interpreter Form	Unchanged
Form M-11P Office of Refugee Resettlement's Staff Questionnaire - Interpreter Form	Unchanged
Form 1 Office of Head Start Disaster Recovery Improper Payment Reviews Form	Unchanged
Form 1 Office of Head Start Disaster Recovery Improper Payment Reviews Form	Unchanged
Form 1 Office of Grants Management Financial Monitoring Review Form and Instruction	Unchanged
Form 1 Office of Grants Management Financial Monitoring Review Form and Instruction	Unchanged
Change Request RFCCMED 4 23.docx Justification for No Material/Nonsubstantive Change	2023-04-24
Change Request RFCCMED 4 23.docx Justification for No Material/Nonsubstantive Change	2023-04-24
Change Request RCP 4 23.docx Justification for No Material/Nonsubstantive Change	2023-04-19
Change Request RCP 4 23.docx Justification for No Material/Nonsubstantive Change	2023-04-19
GenIC Example - Monitoring Activities - Regulation compliance.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Regulation compliance.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Document Submission.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Document Submission.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Daily Activities.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Daily Activities.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Assessment Survey.docx Supplementary Document	2020-09-10
GenIC Example - Monitoring Activities - Assessment Survey.docx Supplementary Document	2020-09-10
Submission Template for Monitoring Generic _7.3.20.docx Supplementary Document	2020-09-10
Submission Template for Monitoring Generic _7.3.20.docx Supplementary Document	2020-09-10
SSA - ACF Generic for Monitoring - Final.docx Supporting Statement A	2020-09-10
SSA - ACF Generic for Monitoring - Final.docx Supporting Statement A	2020-09-10

IC Document Collections

IC ID	Document Title	Status
259658	Office of Head Start Improper Payment Reviews – Update 2023 Form	Unchanged
259658	Office of Head Start Improper Payment Reviews – Update 2023 Form	Unchanged
257727	Monitoring the Status of Required Licensure Other-Instructions	Unchanged
256922	Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form	Unchanged
256922	Low Income Household Water Assistance Program (LIHWAP) Grantee Forecast Form	Unchanged
256016	Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction	Unchanged
256016	Survivors of Torture Integrated Care Continuum (SOT-ICC) Form and Instruction	Unchanged
255384	Office of Head Start Survey on Background Checks and Staffing Other-Survey	Unchanged
254691	Low Income Household Water Assistance Program (LIHWAP) Tribal Implementation Check-In Other-Interview Qs	Unchanged
254180	Office of Refugee Resettlement (ORR) Ethnic Community Self-Help (ECSH) Program Case Documentation Requirements Instruction	Unchanged
252566	Office of Refugee Resettlement (ORR) Refugee Agricultural Partnership Program (RAPP) Case File Requirements Instruction	Unchanged
252558	Office of Refugee Resettlement (ORR) Refugee Individual Development Accounts (IDA) Program Case File Requirements Instruction	Unchanged
252424	Office of Refugee Resettlement Refugee Family Child Care Microenterprise Development File Requirements Instruction	Modified
252423	Office of Refugee Resettlement Refugee Career Pathways Case File Requirements Instruction	Unchanged
252410	Office of Refugee Resettlement (ORR) Refugee Microenterprise Development (MED) Program Case File Requirements Instruction	Unchanged
251144	Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form	Unchanged
251144	Annual Data Collection on Sexual Abuse and Sexual Harassment Involving Unaccompanied Children Form	Unchanged
250729	Office of Refugee Resettlement's Staff Questionnaire - Interpreter Form	Unchanged
250729	Office of Refugee Resettlement's Staff Questionnaire - Interpreter Form	Unchanged
249725	Office on Trafficking in Persons (OTIP) Grant Monitoring Tool (GMT) Other-Monitoring Tool	Unchanged
249675	Child Care and Development Fund (CCDF) State Monitoring Compliance Demonstration Packet Other-Monitoring Packet	Unchanged
248146	Office of Refugee Resettlement Waiver Request Form Other-Request Form	Unchanged
248125	Office of Refugee Resettlement Key Personnel Minimum Qualification Checklist and Attestation Other-Checklist	Unchanged
245964	Office of Head Start Disaster Recovery Improper Payment Reviews Form	Unchanged
245964	Office of Head Start Disaster Recovery Improper Payment Reviews Form	Unchanged
244986	Office of Grants Management Financial Monitoring Review Form and Instruction	Unchanged
244986	Office of Grants Management Financial Monitoring Review Form and Instruction	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0558
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202304-0970-004
Date Submitted to OIRA	2023-04-25
Requested Expiration Date	1969-12-31