Appendix B_Information for staff to tell fathers about opportunities to provide input

OMB # 0970-0531

Expiration Date: 07/31/2022

Appendix B: Information for staff to tell fathers about opportunities to provide input

This is intended to be shared with program staff who will invite fathers on behalf of the SIRF study team; the study team will not have PII (including contact information) for fathers in each program.

 

[name the program] has been partnering with MDRC, a nonprofit organization, to learn how to better support fathers in our program. The project is called Strengthening the Implementation of Responsible Fatherhood Programs, or SIRF. [Name the program] is one of 10 fatherhood programs involved in this project for the last year or so. You can learn more about the SIRF study here. Or you can reach out to MDRC by email (SIRF@mdrc.org) or call the SIRF hotline at (877) 375-9340.

As part of this project, the SIRF team would like to hear about your experiences with [name the program] and what the program could do to better support your goals. In the next couple weeks, someone from [name the program] or I will invite you to answer a few questions about your experience with [name the program] so far. We will either email you, text you, or give you a code to scan when you are in person for a program activity. No matter how you are invited, you will be directed to answer a set of questions online. The questions can be answered on your phone or a computer.

Your feedback will help [name the program] to better engage fathers in our services. Your responses will also be combined with those from the other programs participating in the project to come up with ideas for how fatherhood programs nationwide can be better in the future.

It will take about 15 minutes to give your feedback. You will not be asked to provide any personal information. Your responses will be kept private. Providing your feedback is your choice. There is no penalty for not providing feedback.

We hope you will consider responding when you are invited to provide your feedback!

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of the described information collection is to gather preliminary information about the fatherhood field and explore with fatherhood programs the research questions that are of interest and the design options that are feasible. Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. The answers you give will be kept private. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration date is 07/31/2022. If you have any comments on this collection of information, please contact Charles Michalopoulos; Charles.Michalopoulos@mdrc.org, and Dina Israel; Dina.Israel@mdrc.org; Attn: OMB-PRA (0970-0531).