Administration for Children and Families External Speaker Request Form

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
ACF CLEAN Proposed Speakers Bureau form AUG25_fnl.docx Other-Request Form
SSA-CLEAN Formative ACF Prog Supp GenIC_ACF Speaking Request Form 8.1.25.docx SSA Program Support GenIC - ACF External Speaker Request Form IC Document
NOA_NonSubChg_OA_External Speaker Requests_Project Support GenIC_0970-0490_8.6.25.pdf NOA - ACF External Speaker Request Form IC Document

Information Collection (IC) Details

IC Title:	Administration for Children and Families External Speaker Request Form	Agency IC Tracking Number:	IOAS

IC Status: New

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-Request Form			ACF CLEAN Proposed Speakers Bureau form AUG25_fnl.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA Program Support GenIC - ACF External Speaker Request Form	SSA-CLEAN Formative ACF Prog Supp GenIC_ACF Speaking Request Form 8.1.25.docx	08/20/2025
NOA - ACF External Speaker Request Form	NOA_NonSubChg_OA_External Speaker Requests_Project Support GenIC_0970-0490_8.6.25.pdf	08/20/2025

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