Information Collection

Fatherhood Family-Focused, Interconnected, Resilient, and Essential (Fatherhood FIRE) Grantee Local Evaluation Plan Template

IC 245247 under ICR 202102-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Instrument_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN.docx	Other-Template
Instrument_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN.docx	Other-Template
Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_rev3_KP 121420 updated CLEAN.docx SSA - Formative GenIC ACF Research - Fatherhood FIRE Template	IC Document
Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_rev3_KP 121420 updated CLEAN.docx SSA - Formative GenIC ACF Research - Fatherhood FIRE Template	IC Document
NOA_Fatherhood FIRE_12.17.2020.pdf NOA - Fatherhood FIRE Eval Plan Template	IC Document
NOA_Fatherhood FIRE_12.17.2020.pdf NOA - Fatherhood FIRE Eval Plan Template	IC Document

IC Title:

Fatherhood Family-Focused, Interconnected, Resilient, and Essential (Fatherhood FIRE) Grantee Local Evaluation Plan Template

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template			Instrument_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN.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: 42

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	42	42
Annual IC Time Burden (Hours)	336	336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Formative GenIC ACF Research - Fatherhood FIRE Template	Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_rev3_KP 121420 updated CLEAN.docx	01/07/2021
NOA - Fatherhood FIRE Eval Plan Template	NOA_Fatherhood FIRE_12.17.2020.pdf	01/07/2021

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