Evaluation of the Community Healthy Marriage Initiative -- Impact Evaluation - Wave 2

Forms and Documents

Document Name	Status
Part B.doc Supporting Statement B	2009-06-10
Attachment D - Nonresponse bias report.doc Supplementary Document	2009-06-10
ATTACHMENT C - Lead Letters.doc Supplementary Document	2009-06-10
ATTACHMENT B - Informed consent.doc Supplementary Document	2009-06-10
Part A.doc Supporting Statement A	2009-06-10

IC Document Collections

IC ID	Document Title	Status
179582	Wave 2 Survey instrument Other-Wave 2 Survey instrument	Modified
179581	Screening Other-screening	Removed

ICR Details

OMB Control No: 0970-0322	ICR Reference No: 200906-0970-005
Status: Historical Active	Previous ICR Reference No: 200704-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Community Healthy Marriage Initiative -- Impact Evaluation - Wave 2
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/15/2009
	Date Received in OIRA: 06/25/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	12 Months From Approved	07/31/2010
Responses	4,120	0	13,531
Time Burden (Hours)	3,090	0	3,332
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the submission is to request OMB approval of changes to the information collection instrument to be used in the second wave of data collection. As indicated in the initial supporting statement for the instrument, the evaluation design calls for follow-up information collection to assess the impacts of married education programming and related services on various domains of outcomes for adults and children.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Cooperative Research or Demonstration Projects
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 61875	10/17/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 29214	06/19/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Wave 2 Survey instrument
Screening

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,120	13,531	0	-9,411	0	0
Annual Time Burden (Hours)	3,090	3,332	0	-242	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change is based on administering a second wave of data collection with some changes to the first wave instrument.

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Annual Cost to Federal Government: $2,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/25/2009

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