Information Collection Request

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202604-0970-010 · OMB 0970-0566 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RF2 RF QPR Form and Instruction Removed Available
Form HM2 HM QPR Form and Instruction Removed Available
Form 1 Annual HMRF PPR Form and Instruction Modified Available
MCM Group Commentary on new FORM documents_MightCrow_email 3.12.26.docx Public Comments Uploaded 2026-03-12 Available
HMRF- Public Comment _Lucia Jude_email 3.23.26.msg Public Comments Uploaded 2026-03-23 Available
FI Public Comment_ HMRF Performance Measures Information Collection (OMB 0970-0566)_Fathers Incorporated _email 3.23.26.msg Public Comments Uploaded 2026-03-23 Available
CWA comment on HHS Agency Info Collection -Healthy Marriage and Reponsible Fatherhood programs 3-30-2026_email 3.30.26.pdf Public Comments Uploaded 2026-03-30 Available
Comments on OMB #_ 0970-0566 Proposed Collection of Information_LeahBurke_AL HMREProj_email 2.23.msg Public Comments Uploaded 2026-02-23 Available
HMRF_OMB_0970-0566_PartA.docx Supporting Statement A Uploaded 2026-04-30 Available
HMRF_OMB_0970-0566_AppD_Response_PublicComments_FRN.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-04-30 Available
HMRF_OMB_0970-0566_AppC_Justification_Collection_RaceEthnicity_Data.docx Supplementary Document Uploaded 2026-04-30 Available
HMRF_OMB_0970-0566_AppB_Assumptions_Calculations_BurdenEstimates.docx Supplementary Document Uploaded 2026-04-30 Available
HMRF_OMB_0970-0566_AppA_LegislativeAuthority.pdf Supplementary Document Uploaded 2026-04-30 Available
HMRF_OMB_0970-0566_PartB.docx Supporting Statement B Uploaded 2026-04-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280146 1: Program Application and Enrollment - Program staff (1b: entrance survey data entry) Other-Survey New
246012 7: Continuous Quality Improvement (CQI) Plan Other-Template Removed
246011 6: Quarterly Performance Report (QPR) Form and Instruction RemovedRF QPR
246011 6: Quarterly Performance Report (QPR) Form and Instruction RemovedHM QPR
246010 5: Annual Performance Progress Report (PPR) - Program Staff Form and Instruction ModifiedAnnual HMRF PPR
246008 4: Exit Surveys - Program staff (exit survey data entry) Other-HM Adult Exit Survey Modified
246007 4: Entrance and Exit Surveys - Program clients (exit) Other-HM Adult Exit Survey Removed
246006 4: Exit Surveys - Participants Other-HM Adult Exit Survey Modified
246005 3: Service Delivery Data - Program staff (data entry) Other-Reporting System Modified
246004 2: Program Operations - Program Staff Other-Survey Modified
246003 1: Program Application and Enrollment - Program staff (1a: application form) Other-Application Form Modified
246002 1: Program Application and Enrollment - Program applicants (1b: entrance survey) Other-Survey Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2027
176,756 251,536
45,122 78,263
0 0





table that charts list of burden
  Total Request 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 176,756 251,536 0 -119,780 45,000 0
Annual Time Burden (Hours) 45,122 78,263 0 -48,441 15,300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No