Information Collection

Feedback on Materials for Father Involvement National Media Campaign

IC 239139 under ICR 202004-0970-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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-Screener: Experts	Nonfiction Experts Screener for OMB 1-2-20.docx	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Experts	Nonfiction Experts Discussion Guide for OMB 1-2-20.docx	Yes	Yes	Paper Only
Other-Screener: Fathers	Nonfiction Fathers Screener for OMB 1-2-20.docx	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Fathers	Nonfiction Fathers Discussion Guide for OMB 1-2-20.docx	Yes	Yes	Paper Only
Other-Discussion Guide: Family Member	Nonfiction Family Member Discussion Guide for OMB 1-2-20.docx	Yes	Yes	Paper Only
Other-Screener: Concept Testing	Nimbly Fatherhood Screener Qual Concept Testing for OMB 1-2-20.docx	Yes	Yes	Fillable Fileable
Other-Discussion Guide: Concept Testing	Nimbly Fatherhood Discussion Guide for OMB 1-2-20.docx	Yes	Yes	Paper Only
Other-Follow Up Questions: Concept Testing	Nimbly Fatherhood Follow-Up Questions for OMB 1-2-20.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: 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
	Requested	Previously Approved
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	SSA Formative fo Program Support_0970-0531_OFA PSAs rev 1-3-20.doc	01/03/2020
Guardian Consent Form - Exploratory Phase	Supp - Nonfiction Fathers Guardian Consent Form for OMB 1-2-20.docx	01/03/2020
Fathers NDA Form - Exploratory Phase	Supp - Nonfiction Fathers NDA form for OMB 1-2-20.docx	01/03/2020
Consent Form - Concept Testing Phase	Supp - Nimbly Research and Film Consent Qual Concept Testing for OMB 1-2-20.docx	01/03/2020

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