Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202402-0970-008

OMB: 0970-0566

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0566 can be found here:

2025-03-28 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form HM 6: Quarterly Performance Report (QPR) Form and Instruction	Modified
Form HM 5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Modified
HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx Supporting Statement B	2024-02-14
HMRF_OMB_0970-0566_revision_Part_A_02022024_clean.docx Supporting Statement A	2024-02-14

IC Document Collections

IC ID	Document Title	Status
246012	7: Continuous Quality Improvement (CQI) Plan Other-Template	Modified
246011	6: Quarterly Performance Report (QPR) Form and Instruction	Modified
246010	5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Modified
246008	4: Entrance and Exit Surveys - Program staff (entrance and exit on paper) Other-HM Adult Entrance Survey	Modified
246007	4: Entrance and Exit Surveys - Program clients (exit) Other-HM Adult Exit Survey	Modified
246006	4: Entrance and Exit Surveys - Program clients (entrance) Other-HM Adult Entrance Survey	Modified
246005	3: Service Delivery Data Other-Reporting System	Modified
246004	2: Program Operations Other-Survey	Modified
246003	1: Applicant Characteristics - Program Staff Other-Survey	Modified
246002	1: Applicant Characteristics - Program Applicants Other-Survey	Modified

ICR Details

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