4: Entrance and Exit Surveys - Program clients (entrance)

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

OMB: 0970-0566

IC ID: 246006

Documents and Forms
Document Name
Document Type
Other-HM Adult Entrance Survey
Other-HM Adult Entrance Survey
Other-HM Youth Entrance Survey
Other-HM Youth Entrance Survey
Other-RF Community Fathers Entrance
Other-RF Community Fathers Entrance
Other-RF Community Mothers Entrance
Other-RF Community Mothers Entrance
Other-RF Reentering Fathers Entrance
Other-RF Reentering Fathers Entrance
Information Collection (IC) Details

View Information Collection (IC)

4: Entrance and Exit Surveys - Program clients (entrance)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-HM Adult Entrance Survey Attachment_H_Instrument_4HM_1_Adult_EntranceSurvey.docx Yes Yes Fillable Fileable
Other-HM Youth Entrance Survey Attachment_H_Instrument_4HM_3_Youth_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Fathers Entrance Survey Attachment_H_Instrument_4RF_1_CommunityFathers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Community Mothers Entrance Survey Attachment_H_Instrument_4RF_3_CommunityMothers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable
Other-RF Reentering Fathers Entrance Survey Attachment_H_Instrument_4RF_5_ReenteringFathers_EntranceSurvey_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

OPRE Research and Evaluation Project Records  87 FR 57198

141,498 0
   
Individuals or Households
 
   100 %

  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 46,694 0 -38,251 0 0 84,945
Annual IC Time Burden (Hours) 19,810 0 -16,227 0 0 36,037
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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