RF Performance

Attach E_RF Performance_Combined1.pdf

Performance Measures for Healthy Marriage and Promoting Responsible Fatherhood Grants

RF Performance

OMB: 0970-0365

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Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
Welcome [
], Grant number: [
Budget period: [XXX]
Report number: [XXX]
Priority Area: [
]
REPORTING PERIOD: [

]

] through [

]

1. Across all of your grant’s Allowable Activities, how many people
participated during the reporting period? This is an unduplicated count of people
participating in all Allowable Activities during the reporting period.

a. Number participated

or

data not collected

In case OFA or its contractors need to follow up on the information provided
in this submission, please provide the name and contact information for the
person who is providing the information.
Grant information provided by:
Name:
Title:
Telephone number: (

)

-

E-mail address:

1

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system

Welcome [
], Grant number: [
Budget period: [XXX]
Report number: [XXX]
Priority Area: [
]
REPORTING PERIOD: [

]

] through [

]

Allowable Activity 1: Activities to promote marriage or sustain
marriage
1. In total, how many people participated in activities to promote or
sustain marriage (Allowable Activity 1) during the reporting period?
This is an unduplicated count of those participating in Allowable Activity 1 during the reporting
period.

a. Number participated

or

data not collected

2. What types of services did your program offer under activities to
promote or sustain marriage (Allowable Activity 1) during the
reporting period?
(Mark ALL that apply)
a. Case management
b. Mentoring/life skills/coaching
c. Support groups
d. Curricula-based training
of at least 8 hours

3. During the reporting period, how many people participated in each of
the services?
a. Case management

b. Mentoring/life skills/coaching

or

data not collected

or

did not conduct

or

data not collected

1

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
c. Support groups

d. Curricula-based training
of at least 8 hours

or

did not conduct

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

4. During the reporting period, which of these Healthy Marriage skills
did your program seek to improve?
(Mark ALL that apply)
a. Communication skills
b. Conflict resolution skills
c. Abuse prevention skills
d. Budgeting/financial skills

5. How many people participated in each of the following Healthy
Marriage skills? Please give the number that participated in each skill area; this may be the
same as the reported total participated.

a. Communication skills

b. Conflict resolution skills

c. Abuse prevention skills

d. Budgeting/financial skills

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

6. Of those who participated, how many showed improvement in any of
the four Healthy Marriage skills? This is an unduplicated count of those showing
improvement in at least one of the areas.

2

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system

Number improved

or

data not collected

7. Of those who participated in each skill area, how many showed
improvement in each of the following?
a. Communication skills

or

data not collected

b. Conflict resolution skills

or

data not collected

c. Abuse prevention skills

or

data not collected

d. Budgeting/financial skills

or

data not collected

8. Of those who participated, how many showed improvement in each of
the following? Report ‘attitudes towards marriage’ for unmarried participants and
‘commitment to marriage stability’ for married participants.

a.

b.

Attitudes towards marriage or
Commitment to marriage stability

or

data not collected

Relationship with
spouse/fiancé/partner/co-parent?

or

data not collected

9. Finally, how many people who participated showed improvement in
any of the above areas, the four Healthy Marriage skills, attitude
towards marriage/commitment to marriage stability, or relationship
with spouse/fiancé/partner/co-parent? This is an unduplicated count of those
showing improvement in at least one of the areas.

a. Number improved

or

data not collected

10. How did your program measure improvement in Healthy Marriage
skills, attitudes towards marriage/commitment to marriage stability,
and relationship with the spouse/fiancé/partner/co-parent? Please describe
your methods in the space below.

3

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
11. Please attach an example copy of any instruments used to measure
improvement in marriage skills, attitude or commitment improvement,
and relationship improvement.

In case OFA or its contractors need to follow up on the information provided
in this submission, please provide the name and contact information for the
person who is providing the information.
Grant information provided by:
Name:
Title:
Telephone number: (

)

-

E-mail address:

4

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
Welcome [
], Grant number: [
Budget period: [XXX]
Report number: [XXX]
Priority Area: [
]
REPORTING PERIOD: [

]

] through [

]

Allowable Activity 2: Activities to promote responsible parenting
1. In total, how many people participated in activities to promote
responsible parenting (Allowable Activity 2) during the reporting
period? This is an unduplicated count of those participating in Allowable Activity 2 during the
reporting period.

a. Number participated

or

data not collected

2. What types of services did your program offer under activities to
promote responsible parenting (Allowable Activity 2) during the
reporting period?
Mark ALL that apply
a. Case management
b. Mentoring/life skills/coaching
c. Support groups
d. Curricula-based training
of at least 8 hours

3. During the reporting period, how many people participated in each of
the services? Please give the number that participated in each skill area; this may be the same
as the reported total participated.

a. Case management

b. Mentoring/life skills/coaching

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

1

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
c. Support groups

d. Curricula-based training
of at least 8 hours

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

4. During the reporting period, of those who participated, how many
showed improvement in each of the following?
a. Parenting skills

or

data not collected

b. Commitment to fatherhood

or

data not collected

c. Relationship with their child[ren]
d. Amount of contact with
their child[ren]
e. Knowledge of child support
enforcement

or

data not collected

or

data not collected

or

data not collected

5. Finally, of those who participated, how many showed improvement in
any of the above areas, parenting skills, commitment to fatherhood,
relationship with child[ren], contact with their child[ren] or
knowledge of child support enforcement? This is an unduplicated count of those
showing improvement in at least one of the areas.

a. Number improved

or

data not collected

6. How did your program measure improvement in parenting skills,
commitment to fatherhood, relationship with children, contact with
children and knowledge of child support enforcement? Please describe your
methods in the space below.

7. Please attach an example copy of any instruments used to measure
improvement in parenting skills, commitment to fatherhood,
2

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
relationship, contact with children and knowledge of child support
enforcement.

In case OFA or its contractors need to follow up on the information provided
in this submission, please provide the name and contact information for the
person who is providing the information.
Grant information provided by:
Name:
Title:
Telephone number: (

)

-

E-mail address:

3

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system

Welcome [
], Grant number: [
Budget period: [XXX]
Report number: [XXX]
Priority Area: [
]
REPORTING PERIOD: [

]

] through [

]

Allowable Activity 3: Activities to foster economic stability by helping
fathers improve their economic status
1. In total, how many people participated in activities to foster economic
stability (Allowable Activity 3) during the reporting period? This is an
unduplicated count of those participating in Allowable Activity 3 during the reporting period.

a. Number participated

or

data not collected

2. What types of services did your program offer under activities to
foster economic stability (Allowable Activity 3) during the reporting
period?
(Mark ALL that apply)
a. Case management
b. Mentoring/life skills/coaching
c. Support groups
d. Curricula-based training
of at least 8 hours

3. During the reporting period, how many people participated in each of
the services? Please give the number that participated in each skill area; this may be the same
as the reported total participated.

a. Case management

b. Mentoring/life skills/coaching

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

1

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
c. Support groups

d. Curricula-based training
of at least 8 hours

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

4. During the reporting period, which of these financial /employment
skills did your program seek to improve?
(Mark ALL that apply)
a. Job search skills
b. Financial planning skills
c. Job training
d. Job retention skills

5. How many people participated in each of the following
financial/employment skills?
a. Job search skills
b. Financial planning skills
c. Job training
d. Job retention skills

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

or

data not collected

or

did not conduct

6. Of those who participated, how many showed improvement in any of
the four financial/employment skills? This is an unduplicated count of those
showing improvement in at least one of the areas.

Number improved

or

data not collected

7. Of those who participated in each skill area, how many people
2

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
improved in each of the following financial/employment skills?
a. Job search skills

or

data not collected

b. Financial planning skills

or

data not collected

c. Job training

or

data not collected

d. Job retention skills

or

data not collected

8. Of those who participated, how many showed improvement in each of
the following?
a. Commitment to family financial
responsibility
b. Earnings

or

data not collected

or

data not collected

(Note: Priority Area 5 should not report.)

9. Finally, how many people who participated showed improvement in
any of the above areas, the four employment/financial skills,
commitment towards financial responsibility, or earnings? Note: this is an
unduplicated count of those showing improvement in at least one of the areas.

a. Number improved

10. How did your program measure improvement in
employment/financial skills, commitment towards financial
responsibility, and earnings? Please describe your methods in the space below.

11. Please attach an example copy of any instruments used to measure
improvement in employment/financial skills, commitment towards
financial responsibility, and earnings.

3

Promoting Responsible Fatherhood
OLDC Report Questions/Information for OFA HMRF Grantees to Enter into
OLDC system
In case OFA or its contractors need to follow up on the information provided
in this submission, please provide the name and contact information for the
person who is providing the information.
Grant information provided by:
Name:
Title:
Telephone number: (

)

-

E-mail address:

4


File Typeapplication/pdf
File TitleQuestions/information for grantees to enter into system
AuthorICF
File Modified2008-12-08
File Created2008-12-08

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