Father Involvement Communication Checks

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Father Involvement Communication Checks Form and Instruction
1 Fatherhood Screener Comm Check Fatherhood-Screener-Comm Check March 2016c.doc Form and Instruction
OMB Fast Track Submission for Father Involvement Comm Chks 2 2 2016.doc justification IC Document

Information Collection (IC) Details

IC Title:	Father Involvement Communication Checks	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Fatherhood Screener Comm Check	Fatherhood-Screener-Comm Check March 2016c.doc		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
justification	OMB Fast Track Submission for Father Involvement Comm Chks 2 2 2016.doc	02/10/2016

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