Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #2: Observational Study Protocol

Supporting Healthy Marriage (SHM) Evaluation 12 month follow-up data collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0339 can be found here:

Documents and Forms

Document Name Document Type
SHM PROJECT-instrument #2 - 12 month observational study protocol.doc Other-Observational Study Protocol

Information Collection (IC) Details

IC Title:	Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #2: Observational Study Protocol	Agency IC Tracking Number:

Is this a Common Form? No		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-Observational Study Protocol			SHM PROJECT-instrument #2 - 12 month observational study protocol.doc		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: 5,120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,120	5,120
Annual IC Time Burden (Hours)	2,756	2,756
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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