Information Collection

Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)

IC 277161 under ICR 202508-0970-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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
BUILD_DataCollectionPlanTemplate_11202020_toOPRE_120220.docx	Other-template
BUILD_DataCollectionPlanTemplate_11202020_toOPRE_120220.docx	Other-template
HMRF Grantee DataCollectionPlan_OMB_SSA_12092020_REV_KP 121420_clean_final.docx SSA - Build GenIC Prog Supp	IC Document
HMRF Grantee DataCollectionPlan_OMB_SSA_12092020_REV_KP 121420_clean_final.docx SSA - Build GenIC Prog Supp	IC Document
NOA_BUILD Template_12.17.2020.pdf NOA - Build GenIC	IC Document
NOA_BUILD Template_12.17.2020.pdf NOA - Build GenIC	IC Document

IC Title:

Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template (BUILD)

Agency IC Tracking Number:

OPRE

IC Status: New

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-template					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: 113

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	113	113
Annual IC Time Burden (Hours)	678	678
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Build GenIC Prog Supp		08/21/2025
NOA - Build GenIC		08/21/2025

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

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