Information Collection

TIES Reflection from Fathers

IC 262665 under ICR 202407-0970-005 · OMB 0970-0622.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0622 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 4_TIES_Reflection from fathers.docx	Other-Reflection
Instrument 4_TIES_Reflection from fathers.docx	Other-Reflection

IC Title:

TIES Reflection from Fathers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Reflection			Instrument 4_TIES_Reflection from fathers.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: OPRE Research and Evaluation Project Records

FR Citation: 87 FR 57198

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,200	-300	1,500
Annual IC Time Burden (Hours)	300	-75	375
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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