Information Collection

Measurement Development: Healthy Marriage and Relationship Education Models and Measures

IC 212817 under ICR 201411-0970-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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 _Updated Nov 2014.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_Updated Nov 2014.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_Updated Nov 2014.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_Updated Nov 2014.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 High School 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 Cognitive Interview Screener 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: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available 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 _Updated Nov 2014.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_Updated Nov 2014.docx	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 %

	Requested	Previously Approved
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

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