Information Collection

Customer feedback focus group with Healthy Marriage and Relationship Education (HMRE) program staff

IC 229778 under ICR 201706-0970-005 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SARHM.genericOMB.Appendix A. Focus Group Topic Guide.v3. 1 18 2018.docx	Other-Focus Group
SARHM Generic OMB Clearance for Strategic Planning Site Visit.1 18 2018.docx Fast Track Submission Form - SARHM Feedback Focus Group	IC Document

IC Title:

Customer feedback focus group with Healthy Marriage and Relationship Education (HMRE) program staff

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group			SARHM.genericOMB.Appendix A. Focus Group Topic Guide.v3. 1 18 2018.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form - SARHM Feedback Focus Group	SARHM Generic OMB Clearance for Strategic Planning Site Visit.1 18 2018.docx	01/19/2018

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