Information Collection

Measurement Development: Healthy Marriage and Relationship Education Models and Measures

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0355 can be found here:

2026-01-30 - No material or nonsubstantive change to a currently approved collection
2025-03-28 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document 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)

IC Title:

Measurement Development: Healthy Marriage and Relationship Education Models and Measures

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-Screener	No	Paper Only
Other-Interview Guide	No	Paper Only
Other-Screener	No	Paper Only
Other-Interview Guide	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

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	36	36
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A		08/25/2014
Supporting Statement B		08/25/2014
Attachment A - 3M Cognitive Interview Instrument for Parents in Complex Families		08/25/2014
Attachment C - 3M Cognitive Interview Instrument for High School Aged Youth		08/25/2014
Attachment E - 3M E-mail and Text Reminder		08/25/2014
Attachment F - 3M Consent form for Complex Families		08/25/2014
Attachment G - 3M Consent for Minor Participation Form for Parents of HS Age Youth		08/25/2014
Attachment H - 3M Assent Form for Teens		08/25/2014
Attachment I - 3M Recruitment Adertisement for Complex Families		08/25/2014
Attachment J - 3M Recruitment Advertisement for HS Age Youth		08/25/2014
Attachment K - 3M Recruitment Flyer for Complex Families		08/25/2014
Attachment L - 3M Recruitment Flyer for Teens		08/25/2014
Attachment M - 3M Pledge of Confidentiality		08/25/2014
Attachment N - 3M Individiual Sign-Up Sheet		08/25/2014
Attachment Q - 3M Script for Study Recruitment for Complex Families		08/25/2014
Attachment R - 3M Script for Study Recruitment for High School Aged Youth		08/25/2014
Attachment S - 3M Participant Eligibility Matrix for Complex Families		08/25/2014
Attachment T - 3M Participant Elgibility Matrix for High School Aged Youth		08/25/2014
Attachment U -3M Introduction to Study Letter for Complex Families		08/25/2014
Attachment V - 3M Introduction to Study Letter for High School Aged Youth		08/25/2014
Attachment W - 3M Thank-you Letter for Complex Families		08/25/2014
Attachment X - 3M Thank-you Letter for High School Age Youth		08/25/2014

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

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