Information Collection

Feedback on Materials for Father Involvement National Media Campaign

IC 239139 under ICR 201906-0970-001 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Nonfiction Experts Screener for OMB 1-2-20.docx	Other-Screener: Experts
Nonfiction Experts Discussion Guide for OMB 1-2-20.docx	Other-Discussion Guide: Experts
Nonfiction Fathers Screener for OMB 1-2-20.docx	Other-Screener: Fathers
Nonfiction Fathers Discussion Guide for OMB 1-2-20.docx	Other-Discussion Guide: Fathers
Nonfiction Family Member Discussion Guide for OMB 1-2-20.docx	Other-Discussion Guide: Family Membe
Nimbly Fatherhood Screener Qual Concept Testing for OMB 1-2-20.docx	Other-Screener: Concept Testing
Nimbly Fatherhood Discussion Guide for OMB 1-2-20.docx	Other-Discussion Guide: Concept Test
Nimbly Fatherhood Follow-Up Questions for OMB 1-2-20.docx	Other-Follow Up Questions: Concept T
SSA Formative fo Program Support_0970-0531_OFA PSAs rev 1-3-20.doc Supporting Statement - Feedback on Materials for Father Involvement National Media Campaign	IC Document
Supp - Nonfiction Fathers Guardian Consent Form for OMB 1-2-20.docx Guardian Consent Form - Exploratory Phase	IC Document
Supp - Nonfiction Fathers NDA form for OMB 1-2-20.docx Fathers NDA Form - Exploratory Phase	IC Document
Supp - Nimbly Research and Film Consent Qual Concept Testing for OMB 1-2-20.docx Consent Form - Concept Testing Phase	IC Document

IC Title:

Feedback on Materials for Father Involvement National Media Campaign

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener: Experts	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Experts	Yes	Yes	Paper Only
Other-Screener: Fathers	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Fathers	Yes	Yes	Paper Only
Other-Discussion Guide: Family Member	Yes	Yes	Paper Only
Other-Screener: Concept Testing	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Concept Testing	Yes	Yes	Paper Only
Other-Follow Up Questions: Concept Testing	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: 66

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	66	66
Annual IC Time Burden (Hours)	65	65
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement - Feedback on Materials for Father Involvement National Media Campaign		01/03/2020
Guardian Consent Form - Exploratory Phase		01/03/2020
Fathers NDA Form - Exploratory Phase		01/03/2020
Consent Form - Concept Testing Phase		01/03/2020

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

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