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Private Sector
Performance Measures for Healthy Marriage and Promoting Responsible Fatherhood Grants
OMB: 0970-0365
IC ID: 187918
OMB.report
HHS/ACF
OMB 0970-0365
ICR 200901-0970-004
IC 187918
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0365 can be found here:
2015-07-22 - Extension without change of a currently approved collection
2012-06-08 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Private Sector
Form
Attach E_RF Performance_Combined.pdf
Other-Att E
Attach G_Comment Sheet.doc
Other-Att G
1 Att C
Attach C_HM Performance_Combined.pdf
Form
Attach D_Glossary_HM.doc
Att D
IC Document
Attach B_Data entry instructions.doc
Att B Instructions
IC Document
Attach F_Glossary_RF.doc
Att F
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
Att C
Attach C_HM Performance_Combined.pdf
No
No
Fillable Printable
Other-Att E
Attach E_RF Performance_Combined.pdf
No
No
Fillable Printable
Other-Att G
Attach G_Comment Sheet.doc
No
No
Fillable Printable
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:
190
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
380
0
380
0
0
0
Annual IC Time Burden (Hours)
304
0
304
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att D
Attach D_Glossary_HM.doc
01/15/2009
Att B Instructions
Attach B_Data entry instructions.doc
01/15/2009
Att F
Attach F_Glossary_RF.doc
01/15/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.