Information Collection

Diaper Distribution Demonstration and Research Pilot Baseline Data Collection

IC 257094 under ICR 202307-0970-010 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Instrument 2 - Partner Organization Interview_11.22.22.docx Other-Interview Protocol
Instrument 2 - Partner Organization Interview_11.22.22.docx Other-Interview Protocol
Instrument 3 - Waitlist Survey_11.22.22.docx Other-Survey
Instrument 3 - Waitlist Survey_11.22.22.docx Other-Survey
Instrument 1 - Beneficiary Enrollment Survey_Dec 22 Version - time updated July 2023.docx Other-Survey
Instrument 1 - Beneficiary Enrollment Survey_Dec 22 Version - time updated July 2023.docx Other-Survey
SSA - Formative for ACF Program Support_DDRP_07.2023_CLEAN.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
SSA - Formative for ACF Program Support_DDRP_07.2023_CLEAN.docx SSA - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
SSB - Formative for ACF Program Support_DDDRP_11.23.22.docx SSB - DDDRP Formative GenIC Prog Supp IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document
Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection (OMB #0970-0531).docx Change Request Diaper Distribution Demonstration and Research Pilot Baseline Data Collection IC Document
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx Change Request - DDDRP GenIC Baseline - # Respondents IC Document
Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx Change Request - DDDRP GenIC Baseline - # Respondents IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Diaper Distribution Demonstration and Research Pilot Baseline Data Collection	Agency IC Tracking Number:	OCS

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	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_Dec 22 Version - time updated July 2023.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,970	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,970	3,990	980
Annual IC Time Burden (Hours)	786	565	221
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - DDDRP Formative GenIC Prog Supp	SSA - Formative for ACF Program Support_DDRP_07.2023_CLEAN.docx	07/24/2023
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
Change Request - DDDRP GenIC Baseline - # Respondents	Change Request_DDDRP GenIC_OMB #0970-0531_CLEAN.docx	07/24/2023

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