Information Collection

MFS-IP Follow back interviews Female Pre-release

IC 212434 under ICR 201506-0990-005 · OMB 0990-0331.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0331Appendix A_instruments.docx	Other-null
0990-0331NonsubstantiveModificationCombined.docx Evaluation of the Responsible Fatherhood, Marriage and Family Strengthening Grants for Incarcerated and Reentering Fathers and T	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Other-null			0990-0331Appendix A_instruments.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Evaluation of the Responsible Fatherhood, Marriage and Family Strengthening Grants for Incarcerated and Reentering Fathers and Their Partners	0990-0331NonsubstantiveModificationCombined.docx	07/23/2014

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