Original NOA - SIMR GenIC_Interview Protocol

NOA - SIMR GenIC_Formative Prog Supp_0970-0531_3.20.21.pdf

Formative Data Collections for ACF Program Support

Original NOA - SIMR GenIC_Interview Protocol

OMB: 0970-0531

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NOTICE 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
03/03/2021
ACTION REQUESTED: Generic IC
Strengthening the Implementation of Marriage and Relationship Programs (SIMR)
IC TITLE:
ICR REFERENCE NUMBER:

202012-0970-013

AGENCY ICR TRACKING NUMBER:
TITLE:

OPRE

Formative Data Collections for ACF Program Support

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0970-0531

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: 07/31/2022

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

5,440

9,450

191,174

26,103

29,985

521,249

0

0

0

20,663

20,535

330,075

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Previous
New
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
State Department of
Education Contacts
Form
Supporting Working
Families: ACF
Roundtables on
Improving Access to
High-Quality Child Care
Feedback on Materials
for Father Involvement
National Media
Campaign
Building Capacity to
Evaluate Child Welfare
Community
Collaborations to
Strengthen and
Preserve Families
(CWCC) Grantee Local
Evaluation Plan and
Implementation Plan
Templates
Tribal Continuous
Quality Improvement
Collaboratives
Survey of Higher
Education Instructors to
Support the
Development of
Teaching Materials
Based on OPRE's
Research and
Evaluation
Using Concept Mapping
to Develop a Theory to
Describe the Work of
the National Domestic
Violence Hotline with
Family and Friends of
Victims/Survivors –
Formative Data
Collection
OFA Training and
Technical Assistance
(TTA)
Communications Focus
Groups for Remaking
the Safety Net
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP) OCTOBER 2020
Justification for the
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP) MARCH 2020

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp
54 / 0 / 54
2,500 / 0 / 1,000

65 / 0 / 66

162 / 0 / 36

950 / 0 / 380
88 / 0 / 350

159 / 0 / 360

136 / 0 / 136
2,074 / 0 / 6,032
33 / 0 / 24

420 / 0 / 84

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Hrs/$/Resp

Youth Empowerment
Information, Data
Collection, and
Exploration on
Avoidance of Sex
(IDEAS) – Case Study
of Parent Reflections
Office of Early
Childhood Development
Radical Family
Engagement National
Stakeholder Meeting
Fathers and Continuous
Learning in Child
Welfare Project
Supporting Partnerships
to Advance Research
and Knowledge (Project
SPARK)
Healthy Marriage and
Responsible
Fatherhood Grantee
Data Collection Plan
Template
Collection of Information
for Local Evaluations as
part of the Personal
Responsibility
Education Program
(PREP): Promising
Youth Programs (PYP)
Voices of Freedom

147 / 0 / 240

Tribal Maternal, Infant,
and Early Childhood
Home Visiting
(TMIECHV) Grantee
Technical Assistance
(TA) Needs
Assessment
Strengthening the
Implementation of
Marriage and
Relationship Programs
(SIMR)
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

38 / 0 / 38

55 / 0 / 110

1,225 / 0 / 2,449
364 / 0 / 310

678 / 0 / 113

750 / 0 / 30

330 / 0 / 220

1,895 / 0 / 1,320

12,123


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