Information Collection Request

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202502-0970-045 · OMB 0970-0566 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RF2 RF QPR Form and Instruction Modified Available
Form HM2 HM QPR Form and Instruction Modified Available
Form HM2 6: Quarterly Performance Report (QPR) Form and Instruction Modified Repair queued
Form RF2 RF PPR Form and Instruction Modified Available
Form HM2 HM PPR Form and Instruction Modified Available
Form HM2 5: Semi-annual Performance Progress Report (PPR) Form and Instruction Modified Repair queued
HMRF_2020cohort_OMB_Part_A_2.25.21_2025-EOedits_adf_clean.docx Supporting Statement A Uploaded 2025-03-10 Available
HMRF_2020cohort_OMB_Part_A_2.25.21_2025-EOedits_adf_clean.docx Supporting Statement A Uploaded 2025-03-10 Repair queued
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-02-27 Repair queued
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-02-27 Repair queued
HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx Supplementary Document Uploaded 2024-02-14 Repair queued
HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx Supplementary Document Uploaded 2024-02-14 Repair queued
HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf Supplementary Document Uploaded 2024-02-14 Available
HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf Supplementary Document Uploaded 2024-02-14 Repair queued
HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf Supplementary Document Uploaded 2024-02-14 Available
HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf Supplementary Document Uploaded 2024-02-14 Missing upstream
HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx Supporting Statement B Uploaded 2024-02-14 Available
HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx Supporting Statement B Uploaded 2024-02-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
246012 7: Continuous Quality Improvement (CQI) Plan Other-Template Unchanged
246011 6: Quarterly Performance Report (QPR) Form and Instruction ModifiedRF QPR
246011 6: Quarterly Performance Report (QPR) Form and Instruction ModifiedHM QPR
246011 6: Quarterly Performance Report (QPR) Form and Instruction Modified
246010 5: Semi-annual Performance Progress Report (PPR) Form and Instruction ModifiedRF PPR
246010 5: Semi-annual Performance Progress Report (PPR) Form and Instruction ModifiedHM PPR
246010 5: Semi-annual Performance Progress Report (PPR) Form and Instruction Modified
246008 4: Entrance and Exit Surveys - Program staff (entrance and exit on paper) Other-HM Adult Entrance Survey Unchanged
246007 4: Entrance and Exit Surveys - Program clients (exit) Other-HM Adult Exit Survey Unchanged
246006 4: Entrance and Exit Surveys - Program clients (entrance) Other-HM Adult Entrance Survey Unchanged
246005 3: Service Delivery Data Other-Reporting System Unchanged
246004 2: Program Operations Other-Survey Modified
246003 1: Applicant Characteristics - Program Staff Other-Survey Modified
246002 1: Applicant Characteristics - Program Applicants Other-Survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 03/31/2027 03/31/2027
251,536 0 251,536
78,263 0 78,263
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 251,536 251,536 0 0 0 0
Annual Time Burden (Hours) 78,263 78,263 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No