ACF Data Request

Formative Data Collections for ACF Program Support

Documents and Forms

Document Name Document Type
ACF Data Request - v2024-07 - Clean.docx Other-Survey
SSA - Formative for ACF Program Support - GenIC - ACF Data Request - July 2024 update - Clean.docx SSA - ACF Data Request IC Document
NOA_DataSharing_Change Request_ProgSuppGenIC_0970-0531_8.9.24.pdf NOA - ACF Data Request IC Document

Information Collection (IC) Details

IC Title:	ACF Data Request	Agency IC Tracking Number:	OPRE

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-Survey			ACF Data Request - v2024-07 - Clean.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: 100	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	100	100
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - ACF Data Request	SSA - Formative for ACF Program Support - GenIC - ACF Data Request - July 2024 update - Clean.docx	08/22/2025
NOA - ACF Data Request	NOA_DataSharing_Change Request_ProgSuppGenIC_0970-0531_8.9.24.pdf	08/22/2025

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