Performance Measures for Healthy Marriage and Promoting Responsible Fatherhood Grants

Forms and Documents

Document Name	Status
Form 1 Public Sector Form and Instruction	Unchanged
Form 1 Private Sector Form and Instruction	Unchanged
OFA OMB Supporting Statement-Renewal 10 22 15.docx Supporting Statement A	2015-10-23
Year 4 Letter (2).pdf Supplementary Document	2015-07-21
H - Glossary_RF Reentry OMB.pdf Supplementary Document	2012-06-07
F - Glossary_HM OMB.pdf Supplementary Document	2012-06-07
E - Data entry instructions.pdf Supplementary Document	2012-06-07
G - Glossary_RF OMB.pdf Supplementary Document	2012-06-07
D - Reentry Combined OMB.pdf Supplementary Document	2012-06-07
C - Fatherhood Combined OMB.pdf Supplementary Document	2012-06-07
B - HM Combined OMB.pdf Supplementary Document	2012-06-07
Attach G_Comment Sheet1.doc Supplementary Document	2012-06-07
Attach F_Glossary_RF1.doc Supplementary Document	2012-06-07
Attach C_HM Performance_Combined1.pdf Supplementary Document	2012-06-07
Attach C_HM Performance_Combined1.pdf Supplementary Document	2012-06-07
Attach E_RF Performance_Combined1.pdf Supplementary Document	2012-06-07
Attach B_Data entry instructions1.doc Supplementary Document	2012-06-07
Attach A_Legislative Authority1.doc Supplementary Document	2012-06-07
Appendix A.pdf Supplementary Document	2012-06-07

IC Document Collections

IC ID	Document Title	Status
187919	Public Sector Form and Instruction	Unchanged
187918	Private Sector Form and Instruction	Unchanged

ICR Details

OMB Control No: 0970-0365	ICR Reference No: 201507-0970-002
Status: Historical Active	Previous ICR Reference No: 201206-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OFA
Title: Performance Measures for Healthy Marriage and Promoting Responsible Fatherhood Grants
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/06/2015
	Date Received in OIRA: 07/22/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2016	36 Months From Approved	11/30/2015
Responses	236	0	236
Time Burden (Hours)	189	0	189
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection is necessary for OFA and the Administration for Children and Families (ACF) to ensure the accountability and performance of these grants programs. The grant solicitations issued by the Administration for Children and Families require the grantees to participate in data collection. Specifically, the grant announcements state, "[a]ll grantees will participate fully in quantitative or monitoring activities that capture measurable indicators and outcomes. ACF will require a consistent measuring system across all funded programs."

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Authorizing Statute(s): PL: Pub.L. 109 - 171 7103 Name of Law: Deficit Reduction Act 2005
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 2943	01/21/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 36542	06/25/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Private Sector	1	HM Combined
Public Sector	1	HM Combined

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	236	236	0	0	0	0
Annual Time Burden (Hours)	189	189	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $24,679

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/22/2015

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