Information Collection Request

Building Bridges and Bonds (B3)

ICR 201604-0970-003 · OMB 0970-0485 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix I - PIA - Information Family Outcomes Reporting Management.pdf Supplementary Document Uploaded 2016-09-01 Available
Appendix H - Certificate of Confidentiality.pdf Supplementary Document Uploaded 2016-09-01 Available
Appendix G - Survey Welcome Advance and Tracking Letters.docx Supplementary Document Uploaded 2016-09-01 Available
Appendix F - Recruitment brochure for parenting intervention.pdf Supplementary Document Uploaded 2016-09-01 Available
Appendix E - Assumptions for Calculation of Burden Estimates.docx Supplementary Document Uploaded 2016-09-01 Available
Appendix C - Consent forms for focus groups with mothers.docx Supplementary Document Uploaded 2016-09-01 Repair queued
Appendix B - Assent Materials for Fathers under 18.docx Supplementary Document Uploaded 2016-09-01 Repair queued
Appendix A - Consent Materials for Fathers.docx Supplementary Document Uploaded 2016-09-01 Available
B3_OMB_Supporting_Statement_B.docx Supporting Statement B Uploaded 2016-09-01 Available
B3_OMB_Supporting_Statement_A.docx Supporting Statement A Uploaded 2016-09-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220994 20 - Post-session debrief for sites testing parenting intervention Other-Debrief New
220986 18 & 19 - Mobile device surveys Other-Survey New
220985 17 - Mother Focus Groups Other-Focus Group Protocol New
220984 16 - Participant focus groups Other-Focus Group Protocol New
220983 14 & 15 - Staff surveys Other-Survey New
220982 12 & 13 - Staff and management semi-structured interviews Other-Semi-structured interviews New
220981 10 & 11 - 6 month follow-up surveys Other-Follow up Survey New
220979 8 & 9 - Baseline surveys Other-Baseline Survey New
220978 7 - Additional nFORM burden for non-Grantee site (Staff) Other-nFORM New
220977 7 - Additional nFORM burden for non-Grantee site (Applicant) Other-nFORM New
220976 6 - B3 tracking of attendance in services for program group members Other-Attendance tracker New
220975 5 - B3-specific enrollment data (Staff) Other-Enrollment data New
220974 5 - B3-specific enrollment data (Applicant) Other-Enrollment data New
220973 4 - B3-specific eligibility data (Staff) Other-Eligibility Data New
220972 4 - B3-specific eligibility data (Applicant) Other-Eligibility Data New
220970 3 - Consent Materials for Parents of Fathers under 18 (Staff) Other-Consent Materials New
220969 3 - Consent Materials for Parents of Fathers under 18 (Parent of Applicant) Other-Consent Materials New
220968 2 - Screening questions for employment intervention (Staff) Other-Screening Questions New
220967 2 - Screening questions for employment intervention (Applicant) Other-Screening Questions New
220966 1 - Screening questions for parenting intervention (Staff) Other-Screening Questions New
220965 1 - Screening questions for parenting intervention (Applicant) Other-Screening Questions New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved
31,994 0 0
3,095 0 0
0 0 0





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 31,994 0 0 31,994 0 0
Annual Time Burden (Hours) 3,095 0 0 3,095 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No