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Title IV-E Prevention Services Clearinghouse
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 250972
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202310-0970-008
IC 250972
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:
2024-01-23 - No material or nonsubstantive change to a currently approved collection
2023-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1_Consultation Discussion Guide.docx
Other-Consultation Discussion Guide
Instrument 2_Consultation Feedback Form.docx
Other-Consultation Feedback Form
Instrument 3_Program Description Review Request.docx
Other-Program Description Review Req
Instrument 4_ManualRequest.docx
Other-Manual Request
PSC OMB Part A.docx
SSA - Title IV-E Prevention Services Clearinghouse
IC Document
PSC OMB Part B.docx
SSB - Title IV-E Prevention Services Clearinghouse
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Title IV-E Prevention Services Clearinghouse
Agency IC Tracking Number:
OPRE
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Consultation Discussion Guide
Instrument 1_Consultation Discussion Guide.docx
Yes
Yes
Paper Only
Other-Consultation Feedback Form
Instrument 2_Consultation Feedback Form.docx
Yes
Yes
Paper Only
Other-Program Description Review Request
Instrument 3_Program Description Review Request.docx
Yes
Yes
Paper Only
Other-Manual Request
Instrument 4_ManualRequest.docx
Yes
Yes
Paper Only
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:
215
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
71
0
0
0
0
71
Annual IC Time Burden (Hours)
88
0
0
0
0
88
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Title IV-E Prevention Services Clearinghouse
PSC OMB Part A.docx
12/29/2021
SSB - Title IV-E Prevention Services Clearinghouse
PSC OMB Part B.docx
12/29/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.