Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
B3 - NonSub change request - OMB memo_10.04.2017.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-10-05	Available
11 - 6 Month Follow-up Employment Questionnaire Draft 1-20-17_track.docx	Supplementary Document	Uploaded 2017-02-09	Available
10 - 6 Month Follow-up Survey for Sites testing Parenting Intervention_01_20_17_track.docx	Supplementary Document	Uploaded 2017-02-09	Available
Attachment 22 - Video Consent Child.docx	Supplementary Document	Uploaded 2017-02-09	Available
Attachment 21 - Video Consent Father.docx	Supplementary Document	Uploaded 2017-02-09	Available
Appendix E - Assumptions for Calculation of Burden Estimates_Revised Jan 2017.docx	Supplementary Document	Uploaded 2017-02-09	Available
Appendix B - Assent Materials for Fathers under 18.docx	Supplementary Document	Uploaded 2017-02-09	Available
Appendix A - Consent Materials for Fathers.docx	Supplementary Document	Uploaded 2017-02-09	Available
OMB memo - Non-substantive changes to B3 2017_02_01.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-02-09	Available
18 - Mobile Device Employment Survey_Tracked Changes_9.28.docx	Supplementary Document	Uploaded 2016-10-13	Available
9 - Baseline Survey for Sites Testing Employment Intervention_Track Changes_10.12.16.docx	Supplementary Document	Uploaded 2016-10-13	Available
OMB memo - Non-substantive changes to B3 baseline emp, mobile device surveys_10.12.2016.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-10-13	Available
NonSub CR Track Changes of 8 - Baseline Survey for Sites Testing Parenting Intervention Revised 9-16-16.docx	Supplementary Document	Uploaded 2016-09-30	Available
OMB Memo - non-substantive changes to B3 baseline parenting survey_9.30.2016.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-09-30	Available
nFORM PIA Updated SUBMITTED FINAL 09292016.pdf	Supplementary Document	Uploaded 2016-10-13	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 C - Consent forms for focus groups with mothers.docx	Supplementary Document	Uploaded 2016-09-01	Available
B3_OMB_Supporting_Statement_B_Revised Jan 2017.docx	Supporting Statement B	Uploaded 2017-02-09	Available
B3_OMB_Supporting_Statement_A_Revised Jan 2017.docx	Supporting Statement A	Uploaded 2017-02-09	Available

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
225631	21 – Consent for child video coding study (Co-Applicant Burden)	Other-Consent	Unchanged
225630	21 – Consent for child video coding study (Staff Burden)	Other-Consent	Unchanged
220994	20 - Post-session debrief for sites testing parenting intervention	Other-Debrief	Unchanged
220986	18 & 19 - Mobile device surveys	Other-Survey	Unchanged
220985	17 - Mother Focus Groups	Other-Focus Group Protocol	Unchanged
220984	16 - Participant focus groups	Other-Focus Group Protocol	Unchanged
220983	14 & 15 - Staff surveys	Other-Survey	Modified
220982	12 & 13 - Staff and management semi-structured interviews	Other-Semi-structured interviews	Unchanged
220981	10 & 11 - 6 month follow-up surveys	Other-Follow up survey	Unchanged
220979	8 & 9 - Baseline surveys	Other-Baseline Survey	Unchanged
220978	7 - Additional nFORM burden for non-Grantee site (Staff)	Other-nFORM	Unchanged
220977	7 - Additional nFORM burden for non-Grantee site (Applicant)	Other-nFORM	Unchanged
220976	6 - B3 tracking of attendance in services for program group members	Other-Attendance tracker	Unchanged
220975	5 - B3-specific enrollment data (Staff)	Other-Enrollment data	Unchanged
220974	5 - B3-specific enrollment data (Applicant)	Other-Enrollment data	Unchanged
220973	4 - B3-specific eligibility data (Staff)	Other-Eligibility Data	Unchanged
220972	4 - B3-specific eligibility data (Applicant)	Other-Eligibility Data	Unchanged
220970	3 - Consent Materials for Parents of Fathers under 18 (Staff)	Other-Consent Materials	Unchanged
220969	3 - Consent Materials for Parents of Fathers under 18 (Parent of Applicant)	Other-Consent Materials	Unchanged
220968	2 - Screening questions for employment intervention (Staff)	Other-Screening Questions	Unchanged
220967	2 - Screening questions for employment intervention (Applicant)	Other-Screening Questions	Unchanged
220966	1 - Screening questions for parenting intervention (Staff)	Other-Screening Questions	Unchanged
220965	1 - Screening questions for parenting intervention (Applicant)	Other-Screening Questions	Unchanged

ICR Details

Record metadata
OMB Control No	0970-0485