Information Collection

Fatherhood Family-Focused, Interconnected, Resilient, and Essential (Fatherhood FIRE) Grantee Local Evaluation Plan Template

IC 263860 under ICR 202607-0970-011 · OMB 0970-0356.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN2.docx	Other-Template
Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_2024-2025_fnl.docx SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template	IC Document
NOA_Fatherhood FIRE_12.17.2020.pdf NOA 2020 - Fatherhood FIRE Grantee Local Evaluation Plan Template	IC Document
NOA - Formative Generic ACF Research_0970-0356_2.22.21.pdf NOA 2021 - Fatherhood FIRE Grantee Local Evaluation Plan Template	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Modified

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: 42

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	Previously Approved
Annual Number of Responses for this IC	861	861
Annual IC Time Burden (Hours)	980	980
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template		12/11/2023
NOA 2020 - Fatherhood FIRE Grantee Local Evaluation Plan Template		12/11/2023
NOA 2021 - Fatherhood FIRE Grantee Local Evaluation Plan Template		12/11/2023

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

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