Information Collection

Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data

IC 273891 under ICR 202508-0970-003 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BUILDHMRF_GrantFeedbackSurvey_013125.docx	Other-Survey
BUILDHMRF_GrantFeedbackSurvey_OMB_0970-0531_SSA_clean_01152025.docx SSA Prog Supp GenIC - Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and	IC Document
BUILDHMRF_GrantFeedbackSurvey_OMB_0970-0531_SSB_clean_01222025.docx SSB Prog Supp GenIC - Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and	IC Document

IC Title:

Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data

Agency IC Tracking Number:

OPRE

IC Status: Unchanged

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-Survey					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data		01/29/2025
SSB Prog Supp GenIC - Survey on Healthy Marriage and Responsible Fatherhood Practices for Collecting and Monitoring Outreach and Recruitment Data		01/29/2025

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

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