Information Collection

Nrfc

IC 205449 under ICR 201211-0970-002 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NRFC	Form and Instruction
1 Fatherhood Screener Fatherhood Screener - Final.doc	Form and Instruction
NRFC Discussion Guide - Final.docx Moderator's Guide	IC Document
OMB Fast Track Submission for Father Involvement_12_6_12.doc Justification	IC Document

IC Title:

NRFC

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Fatherhood Screener	Fatherhood Screener - Final.doc		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	90	0	0	0	0	0
Annual IC Time Burden (Hours)	92	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Moderator's Guide	NRFC Discussion Guide - Final.docx	01/14/2013
Justification	OMB Fast Track Submission for Father Involvement_12_6_12.doc	01/15/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.