Information Collection

Fatherhood and Marriage Local Evaluation and Cross-Site Services Components

IC 236344 under ICR 202004-0970-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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: 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-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
	Requested	Previously Approved
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.