OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Examining Equity of the Administration for Children and Families' Healthy Marriage and Responsible Fatherhood (HMRF) Client Surveys

IC 269971 under ICR 202502-0970-001 · OMB 0970-0630.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Instrument 1_Grant recipient recruitment protocol_July2024_rev.docx Other-Recruitment Protocol
Instrument 1_Grant recipient recruitment protocol_July2024_rev.docx Other-Recruitment Protocol
Instrument 2_Participant demographic surveys_073024.docx Other-Survey
Instrument 2_Participant demographic surveys_073024.docx Other-Survey
Instrument 3_HM youth focus group _intv protocol_07302024 PC.docx Other-Focus group protocol
Instrument 3_HM youth focus group _intv protocol_07302024 PC.docx Other-Focus group protocol
Instrument 4_HM adult focus group_intv protocol_07302024 PC.docx Other-Focus Group Protocol
Instrument 4_HM adult focus group_intv protocol_07302024 PC.docx Other-Focus Group Protocol
Instrument 5_RF community fathers focus group_intv protocol_07302024 PC.docx Other-Focus Group Protocol
Instrument 5_RF community fathers focus group_intv protocol_07302024 PC.docx Other-Focus Group Protocol
BUILD STR4 - SSA - Generic for Engagement Activities_07302024.docx
SSA - Examining Equity of ACF HMRF Client Surveys		IC Document
BUILD STR4 - SSA - Generic for Engagement Activities_07302024.docx
SSA - Examining Equity of ACF HMRF Client Surveys		IC Document
BUILD STR4 - SSB - Generic for Engagement Activities 07302024.docx
SSB - Examining Equity of ACF HMRF Client Surveys		IC Document
BUILD STR4 - SSB - Generic for Engagement Activities 07302024.docx
SSB - Examining Equity of ACF HMRF Client Surveys		IC Document
Appendix A_Stack_Grant recipient outreach_July2024_rev.docx
Appendix A: Outreach to grant recipients		IC Document
Appendix A_Stack_Grant recipient outreach_July2024_rev.docx
Appendix A: Outreach to grant recipients		IC Document
Appendix B_Stack_Participant consent_07302024 PC.docx
Appendix B: Client consent		IC Document
Appendix B_Stack_Participant consent_07302024 PC.docx
Appendix B: Client consent		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-Recruitment Protocol Yes Yes Printable Only
Other-Survey Yes Yes Fillable Fileable
Other-Focus group protocol Yes Yes Printable Only
Other-Focus Group Protocol Yes Yes Printable Only
Other-Focus Group Protocol Yes Yes Fillable Fileable

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 156 0 0 0 0 156
Annual IC Time Burden (Hours) 134 0 0 0 0 134
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SSA - Examining Equity of ACF HMRF Client Surveys 08/08/2024
SSB - Examining Equity of ACF HMRF Client Surveys 08/08/2024
Appendix A: Outreach to grant recipients 08/08/2024
Appendix B: Client consent 08/08/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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