Information Collection

Healthy Marriage and Responsible Fatherhood (HMRF) Grant Recipient Support and Advancement interest Survey

IC 258849 under ICR 202303-0970-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Roundtable Survey Questions 2.0 final.docx	Other-Survey
Roundtable Survey Questions 2.0 final.docx	Other-Survey
HMRF GSA survey Fast Track OMB approval form 3.1.2023.docx Fast Track Submission Form	IC Document
HMRF GSA survey Fast Track OMB approval form 3.1.2023.docx Fast Track Submission Form	IC Document

IC Title:

Healthy Marriage and Responsible Fatherhood (HMRF) Grant Recipient Support and Advancement interest Survey

Agency IC Tracking Number:

OFA

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-Survey			Roundtable Survey Questions 2.0 final.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: 206

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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	206	206
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form	HMRF GSA survey Fast Track OMB approval form 3.1.2023.docx	03/01/2023

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