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pdfNOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date
03/20/2021
Department of Health and Human Services
Administration for Children and Families
FOR CERTIFYING OFFICIAL:
Perryn Ashmore
FOR CLEARANCE OFFICER:
Terry Clark
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
02/18/2021
ACTION REQUESTED: Generic IC
Touchpoints for Addressing Substance Use Issues in Home Visiting: Performance Measurement
IC TITLE:
Pilot
ICR REFERENCE NUMBER:
201802-0970-003
AGENCY ICR TRACKING NUMBER:
TITLE:
21397
Pre-testing of Evaluation Data Collection Activities
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:
0970-0355
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 05/31/2021
BURDEN:
DISCONTINUE DATE:
RESPONSES
HOURS
COSTS
Previous
5,100
3,825
0
New
3,825
3,825
0
0
0
0
-1,275
0
0
Change due to Agency Adjustment
0
0
0
Change due to PRA Violation
0
0
0
Difference
Change due to New Statute
Change due to Agency Discretion
TERMS OF CLEARANCE:
Terms of the Generic ICR remain in effect.
OMB Authorizing Official:
Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs
IC Title
Form No.
List of ICs
Form Name
CFR Citation
Self-Regulation Training
Approaches and
Resources to Improve
Staff Capacity for
Implementing Healthy
Marriage Services for
Youth (SARHM)
Pre-testing Request for
Strengthening
Relationship Education
and Marriage Services
(STREAMS)
Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS)-Pre-Test
Touchpoints for
Addressing Substance
Use Issues in Home
Visiting: Performance
Measurement Pilot
Total Hours Actually Used for Information Collections Under Currently Approved ICR:
Hrs/$/Resp
397 / 0 / 116
173 / 0 / 864
252 / 0 / 144
73 / 0 / 87
895
File Type | application/pdf |
File Modified | 2021-03-20 |
File Created | 2021-03-20 |