Information Collection

Fatherhood and Marriage Local Evaluation and Cross-Site Services Components

IC 236344 under ICR 201904-0970-003 · OMB 0970-0356.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A_FaMLE_Impact_Analysis Plan_Template_6-03-2019.docx	Other-Template
Appendix B_FaMLE_Implementation_Analysis Plan_Template_6-03-2019.docx	Other-Template
Appendix C_FaMLE_Descriptive_Analysis Plan_Template_6-03-2019.docx	Other-Template
FaMLE OMB_Part A_6.4.19.doc Supporting Statement A - Formative Generic - FaMLE Cross-Site	IC Document
FAMLE OMB Part B_5-17-2019.doc Supporting Statement B - Formative Generic - FaMLE Cross-Site	IC Document
Appendix D_FaMLE_Impact _Analysis Plan_Instructions_6-03-2019.docx Appendix D - FaMLE Impact Analysis Plan Instructions	IC Document
Appendix E_FaMLE_Implementation_Analysis Plan_Instructions_5-17-2019.docx Appendix E - FaMLE Implementation Analysis Plan Instructions	IC Document
Appendix F_FaMLE_Descriptive_Analysis Plan_Instructions_6-03-2019.docx Appendix F - FaMLE Descriptive Analysis Plan Instructions	IC Document

IC Title:

Fatherhood and Marriage Local Evaluation and Cross-Site Services Components

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template	Appendix A_FaMLE_Impact_Analysis Plan_Template_6-03-2019.docx	Yes	Yes	Fillable Fileable
Other-Template	Appendix B_FaMLE_Implementation_Analysis Plan_Template_6-03-2019.docx	Yes	Yes	Fillable Fileable
Other-Template	Appendix C_FaMLE_Descriptive_Analysis Plan_Template_6-03-2019.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

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	52	52
Annual IC Time Burden (Hours)	312	312
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A - Formative Generic - FaMLE Cross-Site	FaMLE OMB_Part A_6.4.19.doc	06/04/2019
Supporting Statement B - Formative Generic - FaMLE Cross-Site	FAMLE OMB Part B_5-17-2019.doc	06/04/2019
Appendix D - FaMLE Impact Analysis Plan Instructions	Appendix D_FaMLE_Impact _Analysis Plan_Instructions_6-03-2019.docx	06/04/2019
Appendix E - FaMLE Implementation Analysis Plan Instructions	Appendix E_FaMLE_Implementation_Analysis Plan_Instructions_5-17-2019.docx	06/04/2019
Appendix F - FaMLE Descriptive Analysis Plan Instructions	Appendix F_FaMLE_Descriptive_Analysis Plan_Instructions_6-03-2019.docx	06/04/2019

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