Information Collection

Father Invovlement Communication Checks

IC 214862 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⚠️ Notice: This information collection may be referencing outdated material.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 Father Invovlement Communication Checks	Form and Instruction
1 Father Screener Fatherhood-Screener-Comm Check-Final.doc	Form and Instruction
1 Fatherhood Discussion Guide Fatherhood Discussion Guide-Comm Check Final.docx	Form and Instruction
OMB Fast Track Submission for Father Involvement 2-3 15.doc Request	IC Document

IC Title:

Father Invovlement Communication Checks

Agency IC Tracking Number:

OFA

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	Father Screener	Fatherhood-Screener-Comm Check-Final.doc		No		Fillable Printable
Form and Instruction	1	Fatherhood Discussion Guide	Fatherhood Discussion Guide-Comm Check Final.docx		No		Fillable Printable

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 Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request	OMB Fast Track Submission for Father Involvement 2-3 15.doc	02/04/2015

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