Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment Q_Description of potential STREAMS sites_06202016.docx	Supplementary Document	Uploaded 2016-06-23	Available
Attachment P_STREAMS_Adult follow-up survey advance letter_3-1-15.docx	Supplementary Document	Uploaded 2016-03-09	Repair queued
Attachment O_STREAMS_Adult follow-up survey_reminder text message_final.docx	Supplementary Document	Uploaded 2016-06-23	Repair queued
Attachment N_STREAMS_Adult follow-survey reminder postcards_3-1-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment M_STREAMS_Youth and Parent_Follow-up survey advance letters_ 2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Repair queued
Attachment L_STREAMS_Youth follow up phone script _2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment K_STREAMS_Mathematica Confidentiality pledge_2-26-16.pdf	Supplementary Document	Uploaded 2016-03-09	Available
Attachment I_STREAMS_Focus group recruitment flyer_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment H_STREAMS_Focus group confirmation email letter_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment G_STREAMS_Consent statement for adult participants_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment F_STREAMS _Youth assent form_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Repair queued
Attachment E_STREAMS_Parent consent form_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment C_STREAMS_Adult baseline question by question justification_2-26-16.docx	Supplementary Document	Uploaded 2016-03-09	Available
Attachment B_STREAMS_Youth baseline and follow up question by question justification_final.docx	Supplementary Document	Uploaded 2016-06-23	Repair queued
Attachment A_STREAMS_Legislative authority_2-26-16.pdf	Supplementary Document	Uploaded 2016-03-09	Available
STREAMS_Supporting Statement B_2-26-16.docx	Supporting Statement B	Uploaded 2016-03-09	Available
STREAMS_Supporting Statement A_Final June 2016.docx	Supporting Statement A	Uploaded 2016-06-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
220540	Follow-up survey for adults	Other-Follow up Survey	New
220539	Baseline survey for adults	Other-Baseline Survey	New
220538	Follow-up survey for youth	Other-Follow up Survey	New
220537	Baseline survey for youth	Other-Baseline Survey	New
220536	Add-on to nFORM to conduct random assignment	Other-RA items - nFORM	New
220535	Introductory script, program applicants	Other-Intro	New
220534	Introductory script, grantee staff	Other-Intro	New
220533	Session adherence form	Other-null	New
220532	Staff survey	Other-Survey	New
220530	Focus group guide for youth in schools	Other-Focus Group Protocol	New
220529	Focus group guide for adults	Other-Focus Group Protocol	New
220528	Topic guide for staff and stakeholder interviews	Other-Topic guide	New

ICR Details

OMB Control No: 0970-0481	ICR Reference No: 201603-0970-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/05/2016
	Date Received in OIRA: 03/15/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2019	36 Months From Approved
Responses	14,988	0	0
Time Burden (Hours)	3,579	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services seeks approval to collect process and impact study data from six healthy marriage and relationship education (HMRE) programs funded by the Office of Family Assistance (OFA) within ACF. This information collection is being carried out as part of the Strengthening Relationship Education and Marriage Services (STREAMS) evaluation. The purpose of STREAMS is to measure the effectiveness and quality of HMRE programs, program components, and implementation factors designed to strengthen and improve the quality of romantic relationships. The evaluation will examine HMRE programs serving both youth and adults and will fill knowledge gaps about the effectiveness of these programs and strategies for improving program delivery and participant engagement in services.

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Authorizing Statute(s): PL: Pub.L. 111 - 291 811 (b) Name of Law: Healthy Marriage Promotion and Promoting Responsible Fatherhood Grants of the Claims Resolution Act
  

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 76499	12/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 13370	03/14/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Add-on to nFORM to conduct random assignment
Topic guide for staff and stakeholder interviews
Focus group guide for adults
Focus group guide for youth in schools
Staff survey
Session adherence form
Introductory script, grantee staff
Introductory script, program applicants
Baseline survey for youth
Follow-up survey for youth
Baseline survey for adults
Follow-up survey for adults

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ICR Summary of Burden

table that charts list 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	14,988	0	0	14,988	0	0
Annual Time Burden (Hours)	3,579	0	0	3,579	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $5,173,570

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: 03/15/2016

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