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Fatherhood and Marriage Local Evaluation and Cross-Site Services Components
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 236344
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202012-0970-002
IC 236344
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:
2024-01-23 - No material or nonsubstantive change to a currently approved collection
2023-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix A_FaMLE_Impact_Analysis Plan_Template_6-03-2019.docx
Other-Template
Appendix B_FaMLE_Implementation_Analysis Plan_Template_6-03-2019.docx
Other-Template
Appendix C_FaMLE_Descriptive_Analysis Plan_Template_6-03-2019.docx
Other-Template
FaMLE OMB_Part A_6.4.19.doc
Supporting Statement A - Formative Generic - FaMLE Cross-Site
IC Document
FAMLE OMB Part B_5-17-2019.doc
Supporting Statement B - Formative Generic - FaMLE Cross-Site
IC Document
Appendix D_FaMLE_Impact _Analysis Plan_Instructions_6-03-2019.docx
Appendix D - FaMLE Impact Analysis Plan Instructions
IC Document
Appendix E_FaMLE_Implementation_Analysis Plan_Instructions_5-17-2019.docx
Appendix E - FaMLE Implementation Analysis Plan Instructions
IC Document
Appendix F_FaMLE_Descriptive_Analysis Plan_Instructions_6-03-2019.docx
Appendix F - FaMLE Descriptive Analysis Plan Instructions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Fatherhood and Marriage Local Evaluation and Cross-Site Services Components
Agency IC Tracking Number:
IC Status:
Unchanged
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-Template
Appendix A_FaMLE_Impact_Analysis Plan_Template_6-03-2019.docx
Yes
Yes
Fillable Fileable
Other-Template
Appendix B_FaMLE_Implementation_Analysis Plan_Template_6-03-2019.docx
Yes
Yes
Fillable Fileable
Other-Template
Appendix C_FaMLE_Descriptive_Analysis Plan_Template_6-03-2019.docx
Yes
Yes
Fillable Fileable
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:
52
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 %
Requested
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
52
0
0
0
0
52
Annual IC Time Burden (Hours)
312
0
0
0
0
312
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A - Formative Generic - FaMLE Cross-Site
FaMLE OMB_Part A_6.4.19.doc
06/04/2019
Supporting Statement B - Formative Generic - FaMLE Cross-Site
FAMLE OMB Part B_5-17-2019.doc
06/04/2019
Appendix D - FaMLE Impact Analysis Plan Instructions
Appendix D_FaMLE_Impact _Analysis Plan_Instructions_6-03-2019.docx
06/04/2019
Appendix E - FaMLE Implementation Analysis Plan Instructions
Appendix E_FaMLE_Implementation_Analysis Plan_Instructions_5-17-2019.docx
06/04/2019
Appendix F - FaMLE Descriptive Analysis Plan Instructions
Appendix F_FaMLE_Descriptive_Analysis Plan_Instructions_6-03-2019.docx
06/04/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.