Testing Identified Elements for Success in Fatherhood Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Available
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Missing upstream
TIES_Phase 2_Supporting Statement A_Clean_7.23.24.docx	Supporting Statement A	Uploaded 2024-07-23	Available
TIES_Phase 2_Supporting Statement A_Clean_7.23.24.docx	Supporting Statement A	Uploaded 2024-07-23	Repair queued
Appendix 11_IRB Submission 4 Approval Letter.pdf	Supplementary Document	Uploaded 2024-07-17	Available
Appendix 11_IRB Submission 4 Approval Letter.pdf	Supplementary Document	Uploaded 2024-07-17	Missing upstream
Appendix 10_IRB Submission 3 Approval Letter (Corrected).pdf	Supplementary Document	Uploaded 2024-07-17	Available
Appendix 10_IRB Submission 3 Approval Letter (Corrected).pdf	Supplementary Document	Uploaded 2024-07-17	Repair queued
Appendix 3_TIES_Welcome Letter.docx	Supplementary Document	Uploaded 2023-12-04	Available
Appendix 3_TIES_Welcome Letter.docx	Supplementary Document	Uploaded 2023-12-04	Repair queued
TIES_Phase 2_Supporting Statement B_Clean.docx	Supporting Statement B	Uploaded 2024-07-17	Available
TIES_Phase 2_Supporting Statement B_Clean.docx	Supporting Statement B	Uploaded 2024-07-17	Missing upstream
Appendix 2_TIES_IRB Approval Letter.pdf	Supplementary Document	Uploaded 2023-10-04	Available
Appendix 2_TIES_IRB Approval Letter.pdf	Supplementary Document	Uploaded 2023-10-04	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
269494	Audio Journaling Training	Instruction	Unchanged
269493	Photo Voice Training	Instruction	Unchanged
269492	Nine-month Follow-up survey	Other-Survey	Modified
269491	Audio Journaling (collection + debrief)	Other-Audio Journaling Activities	Unchanged
269490	Photo Voice (collection + focus group + debrief)	Other-Photo Voice Activities	Unchanged
269489	Father focus group (including consent)	Other-Focus Group	Unchanged
269487	Co-Parent Interview (including consent)	Other-Interview	Unchanged
269486	Staff Interview (including consent)	Other-Interview	Unchanged
263799	TIES Contact Updates	Other-Contact Update	Unchanged
262665	TIES Reflection from Fathers	Other-Reflection	Unchanged
262664	TIES Reflection from Staff	Other-Reflections	Unchanged
262663	Program Information and management tool (TIES Table Template)	Other-Template	Unchanged
262662	TIES Baseline Survey	Other-Survey	Modified
262661	TIES Consent Materials for Fathers (over 18 years old)	Other-Consent material	Unchanged

ICR Details

OMB Control No: 0970-0622	ICR Reference No: 202502-0970-053
Status: Active	Previous ICR Reference No: 202407-0970-005
Agency/Subagency: HHS/ACF	Agency Tracking No: OPRE
Title: Testing Identified Elements for Success in Fatherhood Programs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/04/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	09/30/2027	09/30/2027
Responses	6,532	0	6,532
Time Burden (Hours)	1,814	0	1,814
Cost Burden (Dollars)	0	0	0

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Abstract: This is the second of two information collection requests for the Testing Identified Elements for Success in Fatherhood Programs (Fatherhood TIES) study. The first request (approved December 7, 2023) included consent for participants to enter the study, baseline data collection, and data collection about program processes and outcomes during the study period to support the study team’s understanding of implementation and how it could be improved. In this second request, approval is being sought for the remainder of study data collection which seeks to gather additional information about program implementation and outcomes. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 45902	05/24/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 60642	07/26/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
Audio Journaling (collection + debrief)
Audio Journaling Training
Co-Parent Interview (including consent)
Father focus group (including consent)
Nine-month Follow-up survey
Photo Voice (collection + focus group + debrief)
Photo Voice Training
Program Information and management tool (TIES Table Template)
Staff Interview (including consent)
TIES Baseline Survey
TIES Consent Materials for Fathers (over 18 years old)
TIES Contact Updates
TIES Reflection from Fathers
TIES Reflection from Staff

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ICR Summary of Burden

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	6,532	6,532	0	0	0	0
Annual Time Burden (Hours)	1,814	1,814	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $740,314

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/28/2025

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