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TIES Reflection from Fathers
Testing Identified Elements for Success in Fatherhood Programs
OMB: 0970-0622
IC ID: 262665
OMB.report
HHS/ACF
OMB 0970-0622
ICR 202407-0970-005
IC 262665
( )
Documents and Forms
Document Name
Document Type
Instrument 4_TIES_Reflection from fathers.docx
Other-Reflection
Instrument 4_TIES_Reflection from fathers.docx
Other-Reflection
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TIES Reflection from Fathers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Reflection
Instrument 4_TIES_Reflection from fathers.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:
OPRE Research and Evaluation Project Records
FR Citation:
87 FR 57198
Number of Respondents:
3,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1,200
0
-300
0
0
1,500
Annual IC Time Burden (Hours)
300
0
-75
0
0
375
Annual IC Cost Burden (Dollars)
0
0
0
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.