Information Collection

Father Involvement Communication Checks

IC 220065 under ICR 201502-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Involvement Communication Checks	Form and Instruction
1 Fatherhood Screener Comm Check Fatherhood-Screener-Comm Check March 2016c.doc	Form and Instruction
OMB Fast Track Submission for Father Involvement Comm Chks 2 2 2016.doc justification	IC Document

IC Title:

Father Involvement Communication Checks

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 Comm Check	Fatherhood-Screener-Comm Check March 2016c.doc		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

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	48	48
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
justification	OMB Fast Track Submission for Father Involvement Comm Chks 2 2 2016.doc	02/10/2016

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