Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment_D_IRB-Guidance_20180629.pdf	Supplementary Document	Uploaded 2018-07-05	Available
Attachment_F_Assumptions for Calculation of Burden Estimates_20180629.docx	Supplementary Document	Uploaded 2018-07-05	Available
Attachment_B_60-Day_FederalRegisterNotice_20180629.pdf	Supplementary Document	Uploaded 2018-07-05	Available
Attachment_C_FaMLE_FocusGroupInformedConsent_20180629.docx	Supplementary Document	Uploaded 2018-07-05	Available
Attachment_G_FaMLE Focus Group confirmation letter and reminder script_20180629.docx	Supplementary Document	Uploaded 2018-07-05	Available
Attachment_E_ConfidentialityPledge_20180629.pdf	Supplementary Document	Uploaded 2018-07-05	Available
Attachment A_Claims Res Act_SSA_Title IV_Part A_Section 403_RFHM grants.pdf	Supplementary Document	Uploaded 2015-03-23	Available
2.FaMLE_SupportingStatement_PartB_renewal_20180629.docx	Supporting Statement B	Uploaded 2018-07-05	Available
1.FaMLE_SupportingStatement_PartA_renewal_20180629.docx	Supporting Statement A	Uploaded 2018-07-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
215795	DCS-6: Quarterly Performance Report	Other-QPR HM Grantees	Modified
215794	DCS-5: Semi-annual Progress Report	Other-PPR HM Grantees	Modified
215793	DCS 4: SAQ Pre-Test and Post-Test - Program Staff Entry	Other-Pre-test HM Adults	Modified
215792	DCS 4: SAQ Program Participants Post-Test	Other-Post-test HM Youth	Modified
215791	DCS 4: SAQ Program Participant Pre-Test	Other-Pre-test RF Comm Fathers	Modified
215790	DCS-3: Service Receipt in MIS	Other-MIS	Modified
215789	DCS-2: Grantee Program Operations	Other-null	Unchanged
215788	DCS-1: Applicant Characteristics - Program Staff	Other-null	Modified
215787	DCS-1: Applicant Characteristics - Program Applicants	Other-null	Modified
215786	DCI-3: Focus group Protocol	Other-Topic Guide	Unchanged
215785	DCI-2: Topic Guide on Program Implementation	Other-Topic Guide	Unchanged
215784	DCI-1: Topic Guide on Program Design	Other-Topic Guide	Unchanged

ICR Details

OMB Control No: 0970-0460	ICR Reference No: 201807-0970-003
Status: Active	Previous ICR Reference No: 201602-0970-007
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/24/2018
	Date Received in OIRA: 07/06/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	36 Months From Approved	09/30/2018
Responses	1,525,185	0	575,381
Time Burden (Hours)	132,227	0	180,090
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request (ICR) is for renewal of clearance for OMB package # 0970-0460, which was originally approved in July 2015 to collect information for the Fatherhood and Marriage Local Evaluation (FaMLE) and Cross-Site Project. The FaMLE Cross-Site Project gathers information from the current round of healthy marriage (HM) and responsible fatherhood (RF) grantees. The HM and RF grants were awarded in fall 2015. ACF contracted with Mathematica Policy Research to conduct the FaMLE Cross-Site project, with the dual goals of supporting quality and consistent collection of performance measures data, and fostering strong local evaluations by the 2015 cohort of HMRF grantees. More specifically, Mathematica: (1) collects information on the design and implementation of grantees’ programs; and (2) has developed and maintains data collection tools that grantees use to collect information on program participation and participant outcomes for use in reporting performance and conducting evaluations. The project relies on two complementary, ongoing sources of data collection: (1) data collection by the contractor for cross-site analysis of program design and implementation, hereafter referred to as DCI (Data collected by the Contractor Itself); and (2) data collection by the grantees themselves for performance reporting and cross-site analysis, hereafter referred to as DCS (Data Collected for Cross-Site analyses). OMB renewal will allow these sources of data collection to continue for another three years.

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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:
	83 FR 5631	02/08/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 3155	07/06/2018
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
DCI-3: Focus group Protocol
DCS-1: Applicant Characteristics - Program Applicants
DCS-3: Service Receipt in MIS
DCS 4: SAQ Pre-Test and Post-Test - Program Staff Entry
DCS-5: Semi-annual Progress Report
DCI-1: Topic Guide on Program Design
DCI-2: Topic Guide on Program Implementation
DCS-1: Applicant Characteristics - Program Staff
DCS-2: Grantee Program Operations
DCS 4: SAQ Program Participant Pre-Test
DCS 4: SAQ Program Participants Post-Test
DCS-6: Quarterly Performance Report

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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	1,525,185	575,381	0	949,804	0	0
Annual Time Burden (Hours)	132,227	180,090	0	-47,863	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a renewal request for an ongoing data collection. Burden has been updated to reflect expected response rates over the next three years of data collection.

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Annual Cost to Federal Government: $1,372,578

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 07/06/2018

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