Oklahoma Marriage Initiative Process Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
HHS OK Response.doc	Supplementary Document	Uploaded 2007-05-14	Available
Oklahoma Marriage.doc	Supporting Statement B	Uploaded 2006-12-21	Available
supporting statementOklahoma.doc	Supporting Statement A	Uploaded 2006-12-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46722	Focus Group Guide for Community WS Paticipants		New
46721	Focus Group Guide for WS Participants at Public Agencies		New
46720	Guide for Group Interviews with Community WS Leaders		New
46719	Guide for Group Interviews with WS Leaders at Publice Agencies		New
46718	Protocol for Lead Staff at Public Agencies		New

ICR Details

OMB Control No: 0990-0309	ICR Reference No: 200701-0990-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Oklahoma Marriage Initiative Process Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/16/2007
	Date Received in OIRA: 01/12/2007
Terms of Clearance: Approved consistent with HHS response to OMB questions and comments included in the docket as an attachment to this collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved
Responses	260	0	0
Time Burden (Hours)	390	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This data collection will support HHS's effort to document implementation lessons from the Oklahoma Marriage Initiative. Sinced the OK Marriage Initiative is the largest and most lonstanding intervention of its kind, this evaluation will fill a gap in our understanding of the implications of implementation decisions in marriage programming. Information will be collected through structured interviews and focus groups with program developers, practioners, and participants.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 50921	08/28/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 68629	11/27/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Guide for Group Interviews with Community WS Leaders
Focus Group Guide for WS Participants at Public Agencies
Focus Group Guide for Community WS Paticipants
Protocol for Lead Staff at Public Agencies
Guide for Group Interviews with WS Leaders at Publice Agencies

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	260	0	0	260	0	0
Annual Time Burden (Hours)	390	0	0	390	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new project which incorporates new research.

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Annual Cost to Federal Government: $230,199

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/21/2006

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