Information Collection Request

Evaluation of The Marriage and Family Strengthening Grants

ICR 201111-0990-003 · OMB 0990-0331 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
MFS OMB Incentives_6_2012 (2).doc Supplementary Document Uploaded 2012-08-21 Available
0990-0331MFS-IP Supporting Statement for OMB Renewal Application PartB Final.docx Supporting Statement B Uploaded 2011-11-09 Available
0990-0331Renewal Part A_ Appendix C Informed Consent Forms.doc Supplementary Document Uploaded 2011-11-10 Available
0990-0331Renewal Part B-Appendix I Overview of MFS-IP Programs.docx Supplementary Document Uploaded 2011-11-10 Available
0990-0331Renewal Part B_Appendix H Pilot Test Feedback Form.doc Supplementary Document Uploaded 2011-11-10 Available
0990-0331Renewal Part A_Appendix E IRB Approval.pdf Supplementary Document Uploaded 2011-11-10 Available
0990-0331MFS-IP Supporting Statement for OMB Renewal Application Part A REV2 Final.docx Supporting Statement A Uploaded 2011-11-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
184575 MFS-IP Follow up survey-(34 month) Female Other-survey Modified
184574 MFS-IP Follow up Survey- 34 months-Male Other-survey Modified
184573 MFS-IP Follow-up Survey- (9/18 month)Female Other-survey Modified
184572 MFS-IP Follow-up Survey-(9/18 month)Male Other-survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2015 36 Months From Approved 08/31/2012
1,736 0 2,664
2,606 0 3,996
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
MFS-IP Follow-up Survey-(9/18 month)Male
MFS-IP Follow-up Survey- (9/18 month)Female
MFS-IP Follow up Survey- 34 months-Male
MFS-IP Follow up survey-(34 month) Female

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 1,736 2,664 0 -928 0 0
Annual Time Burden (Hours) 2,606 3,996 0 -1,390 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No