Information Collection

Fathers and Continuous Learning Dissemination Pilot

IC 253173 under ICR 202208-0970-005 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1. FCL Dissemination Pilot All-team call brief polls_FINAL.docx	Other-Polling Qs
Instrument 1. FCL Dissemination Pilot All-team call brief polls_FINAL.docx	Other-Polling Qs
Instrument 2. FCL Dissemination Pilot Team Meeting Qualitative Feedback Questions_FINAL.docx	Other-Open-Ended Qs
Instrument 2. FCL Dissemination Pilot Team Meeting Qualitative Feedback Questions_FINAL.docx	Other-Open-Ended Qs
Instrument 3. FCL Dissemination Pilot Survey_4.21.22.docx	Other-Survey
Instrument 3. FCL Dissemination Pilot Survey_4.21.22.docx	Other-Survey
FCL Dissem Pilot_ Fast Track Generic_FINAL.docx Fast Track GenIC Submission Form - FCL Dissemination Pilot	IC Document
FCL Dissem Pilot_ Fast Track Generic_FINAL.docx Fast Track GenIC Submission Form - FCL Dissemination Pilot	IC Document

IC Title:

Fathers and Continuous Learning Dissemination Pilot

Agency IC Tracking Number:

OPRE

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-Polling Qs	Instrument 1. FCL Dissemination Pilot All-team call brief polls_FINAL.docx	Yes	Yes	Fillable Fileable
Other-Open-Ended Qs	Instrument 2. FCL Dissemination Pilot Team Meeting Qualitative Feedback Questions_FINAL.docx	Yes	Yes	Fillable Fileable
Other-Survey	Instrument 3. FCL Dissemination Pilot Survey_4.21.22.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: 48

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	288	288
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track GenIC Submission Form - FCL Dissemination Pilot	FCL Dissem Pilot_ Fast Track Generic_FINAL.docx	05/02/2022

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