OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Listening Session with Fathers and Families Living in Rural Pennsylvania, and the Outskirts of Urban and Suburban Communities

IC 266666 under ICR 202502-0970-001 · OMB 0970-0630.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Facilitation Questions Draft Doc_04082024.docx Other-Semi-structured protocols
Facilitation Questions Draft Doc_04082024.docx Other-Semi-structured protocols
Facilitation Questions Draft Doc_04172024.docx Other-Semi-structured protocols
Facilitation Questions Draft Doc_04172024.docx Other-Semi-structured protocols
SSA Template - Generic for Engagement Activities_R3 Rural Listening Sessions_04082024_v2.docx
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania, and the Outskirts o		IC Document
SSA Template - Generic for Engagement Activities_R3 Rural Listening Sessions_04082024_v2.docx
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania, and the Outskirts o		IC Document
Listening Session Consent Form_04082024.docx
Appendix A – Listening Session Consent Form		IC Document
Listening Session Consent Form_04082024.docx
Appendix A – Listening Session Consent Form		IC Document
Listening Session Consent Form_04172024.docx
Appendix A - Listening Session Consent Form rev		IC Document
Listening Session Consent Form_04172024.docx
Appendix A - Listening Session Consent Form rev		IC Document
SSA Template - Generic for Engagement Activities_R3 Rural Listening Sessions_04172024.docx
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania and the Outskirts of		IC Document
SSA Template - Generic for Engagement Activities_R3 Rural Listening Sessions_04172024.docx
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania and the Outskirts of		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Semi-structured protocols No   Printable Only
Other-Semi-structured protocols No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 72 0 0 0 0 72
Annual IC Time Burden (Hours) 109 0 0 0 0 109
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania, and the Outskirts of Urban and Suburban Communities 04/08/2024
Appendix A – Listening Session Consent Form 04/08/2024
Appendix A - Listening Session Consent Form rev 04/17/2024
SSA - Engagement Activities GenIC: Listening Session with Fathers and Families Living in Rural Pennsylvania and the Outskirts of Urban and Suburban Communities rev 04/17/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].