Evaluation of the Community Healthy Marriage Initiatives (CHMI) - Baseline survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CHMI baseline survey OMB Justification doc.3.22.07.doc	Supporting Statement B	Uploaded 0000-00-00	Available
CHMI baseline survey OMB Justification doc.3.22.07.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
179582	Interviewing	Other-Interviewing	New
179581	Screening	Other-screening	New

ICR Details

OMB Control No: 0970-0322	ICR Reference No: 200704-0970-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Evaluation of the Community Healthy Marriage Initiatives (CHMI) - Baseline survey
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 without change	Conclusion Date: 07/17/2007
	Date Received in OIRA: 04/11/2007
Terms of Clearance: ACF will provide with their final response rates and results of their nonresponse bias analysis.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved
Responses	13,531	0	0
Time Burden (Hours)	3,332	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a survey of community members in places where ACF-funded CHMI grantees provide a range of marriage education services community wide. The objective of the CHMI evaluation is to evaluate the community impacts of these interventions on marital stability and satisfaction, and family well-being and child well-being among low-income families. Primary data for the impact evaluation will come from three rounds of in-person data collection. The impact evaluation will assess the effects of healthy marriage initiatives by comparing family and child well-being outcomes over time in three CHMI communities with similar outcomes in three comparison communities that are well-matched to the CHMI sites. The impact evaluation will be integrated with the implementation study (approved by OMB in 2005) that involves a qualitative assessment of CHMI activities and the collection of programmatic and administrative data. This request is for the baseline survey (round 1) of the impact evaluation.

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Authorizing Statute(s): None

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 46195	08/15/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 790	01/08/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Screening
Interviewing

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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	13,531	0	0	13,531	0	0
Annual Time Burden (Hours)	3,332	0	0	3,332	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: New study.

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Annual Cost to Federal Government: $1,998,570

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: 04/11/2007

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