Information Collection

Measurement Development: Healthy Marriage and Relationship Education Models and Measures

IC 212817 under ICR 201404-0970-002 · OMB 0970-0355.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment O - 3M Cognitive Interview Screener for Complex Families_CLEAN.docx Other-Screener
Attachment B - 3M Cognitive Interview Guide for Parents in Complex Families_CLEAN.docx Other-Interview Guide
Attachment P - 3M Cognitive Interview Screener for High School Students_CLEAN.docx Other-Screener
Attachment D - 3M Cognitive Interview Guide for High School Aged Youth_CLEAN.docx Other-Interview Guide
3M OMB PACKET_Part A_CLEAN.docx
Supporting Statement A
IC Document
3M OMB Packet_Part B_CLEAN.docx
Supporting Statement B
IC Document
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families_CLEAN.docx
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families
IC Document
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth_CLEAN.docx
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth
IC Document
Attachment E - 3M E-mail and Text Reminder_CLEAN.docx
Attachment E - 3M E-mail and Text Reminder
IC Document
Attachment F - 3M Consent form for Complex Families_CLEAN.docx
Attachment F - 3M Consent form for Complex Families
IC Document
Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth_CLEAN.docx
Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth
IC Document
Attachment H - 3M Assent Form for Teens_CLEAN.docx
Attachment H - 3M Assent Form for Teens
IC Document
Attachment I - 3M Recruitment Adertisement for Complex Families_CLEAN.docx
Attachment I - 3M Recruitment Adertisement for Complex Families
IC Document
Attachment J - 3M Recruitment Advertisement for HS Age Youth_CLEAN.docx
Attachment J - 3M Recruitment Advertisement for HS Age Youth
IC Document
Attachment K - 3M Recruitment Flyer for Complex Families_CLEAN.docx
Attachment K - 3M Recruitment Flyer for Complex Families
IC Document
Attachment L - 3M Recruitment Flyer for Teens_CLEAN.docx
Attachment L - 3M Recruitment Flyer for Teens
IC Document
Attachment M - 3M Pledge of Confidentiality_CLEAN.docx
Attachment M - 3M Pledge of Confidentiality
IC Document
Attachment N - 3M Individiual Sign-Up Sheet_CLEAN.docx
Attachment N - 3M Individiual Sign-Up Sheet
IC Document
Attachment Q - 3M Script for Study Recruitment for Complex Families_CLEAN.docx
Attachment Q - 3M Script for Study Recruitment for Complex Families
IC Document
Attachment R - 3M Script for Study Recruitment for High School Aged Youth_CLEAN.docx
Attachment R - 3M Script for Study Recruitment for High School Aged Youth
IC Document
Attachment S - 3M Participant Eligibility Matrix for Complex Families_CLEAN.docx
Attachment S - 3M Participant Eligibility Matrix for Complex Families
IC Document
Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth_CLEAN.docx
Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth
IC Document
Attachment U -3M Introduction to Study Letter for Complex Families_CLEAN.docx
Attachment U -3M Introduction to Study Letter for Complex Families
IC Document
Attachment V - 3M Introduction to Study Letter for High School Aged Youth_CLEAN.docx
Attachment V - 3M Introduction to Study Letter for High School Aged Youth
IC Document
Attachment W - 3M Thank-you Letter for Complex Families_CLEAN.docx
Attachment W - 3M Thank-you Letter for Complex Families
IC Document
Attachment X - 3M Thank-you Letter for High School Age Youth_CLEAN.docx
Attachment X - 3M Thank-you Letter for High School Age Youth
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Screener Attachment O - 3M Cognitive Interview Screener for Complex Families_CLEAN.docx No   Paper Only
Other-Interview Guide Attachment B - 3M Cognitive Interview Guide for Parents in Complex Families_CLEAN.docx No   Paper Only
Other-Screener Attachment P - 3M Cognitive Interview Screener for High School Students_CLEAN.docx No   Paper Only
Other-Interview Guide Attachment D - 3M Cognitive Interview Guide for High School Aged Youth_CLEAN.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


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 36 0 36 0 0 0
Annual IC Time Burden (Hours) 38 0 38 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
Supporting Statement A 3M OMB PACKET_Part A_CLEAN.docx 08/25/2014
Supporting Statement B 3M OMB Packet_Part B_CLEAN.docx 08/25/2014
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families_CLEAN.docx 08/25/2014
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth_CLEAN.docx 08/25/2014
Attachment E - 3M E-mail and Text Reminder Attachment E - 3M E-mail and Text Reminder_CLEAN.docx 08/25/2014
Attachment F - 3M Consent form for Complex Families Attachment F - 3M Consent form for Complex Families_CLEAN.docx 08/25/2014
Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth_CLEAN.docx 08/25/2014
Attachment H - 3M Assent Form for Teens Attachment H - 3M Assent Form for Teens_CLEAN.docx 08/25/2014
Attachment I - 3M Recruitment Adertisement for Complex Families Attachment I - 3M Recruitment Adertisement for Complex Families_CLEAN.docx 08/25/2014
Attachment J - 3M Recruitment Advertisement for HS Age Youth Attachment J - 3M Recruitment Advertisement for HS Age Youth_CLEAN.docx 08/25/2014
Attachment K - 3M Recruitment Flyer for Complex Families Attachment K - 3M Recruitment Flyer for Complex Families_CLEAN.docx 08/25/2014
Attachment L - 3M Recruitment Flyer for Teens Attachment L - 3M Recruitment Flyer for Teens_CLEAN.docx 08/25/2014
Attachment M - 3M Pledge of Confidentiality Attachment M - 3M Pledge of Confidentiality_CLEAN.docx 08/25/2014
Attachment N - 3M Individiual Sign-Up Sheet Attachment N - 3M Individiual Sign-Up Sheet_CLEAN.docx 08/25/2014
Attachment Q - 3M Script for Study Recruitment for Complex Families Attachment Q - 3M Script for Study Recruitment for Complex Families_CLEAN.docx 08/25/2014
Attachment R - 3M Script for Study Recruitment for High School Aged Youth Attachment R - 3M Script for Study Recruitment for High School Aged Youth_CLEAN.docx 08/25/2014
Attachment S - 3M Participant Eligibility Matrix for Complex Families Attachment S - 3M Participant Eligibility Matrix for Complex Families_CLEAN.docx 08/25/2014
Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth_CLEAN.docx 08/25/2014
Attachment U -3M Introduction to Study Letter for Complex Families Attachment U -3M Introduction to Study Letter for Complex Families_CLEAN.docx 08/25/2014
Attachment V - 3M Introduction to Study Letter for High School Aged Youth Attachment V - 3M Introduction to Study Letter for High School Aged Youth_CLEAN.docx 08/25/2014
Attachment W - 3M Thank-you Letter for Complex Families Attachment W - 3M Thank-you Letter for Complex Families_CLEAN.docx 08/25/2014
Attachment X - 3M Thank-you Letter for High School Age Youth Attachment X - 3M Thank-you Letter for High School Age Youth_CLEAN.docx 08/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.