Private Sector

Performance Measures for Healthy Marriage and Promoting Responsible Fatherhood Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0365 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Private Sector Form and Instruction
1 HM Combined Attach C_HM Performance_Combined1.pdf Form and Instruction
1 RF Combined Attach E_RF Performance_Combined1.pdf Form and Instruction
1 Comment Attach G_Comment Sheet1.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	HM Combined	Attach C_HM Performance_Combined1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	1	RF Combined	Attach E_RF Performance_Combined1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	1	Comment	Attach G_Comment Sheet1.doc	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 103	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	206	-174	380
Annual IC Time Burden (Hours)	165	-139	304
Annual IC Cost Burden (Dollars)	0	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.