Information Collection Request

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202608-0970-008 · OMB 0970-0566 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Annual HMRF PPR Form and Instruction Modified Available
HMRF_NonSub Change Request_20260821.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-08-21 Available
HMRF_OMB_0970-0566_PartA.docx Supporting Statement A Uploaded 2026-05-26 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 Unchanged
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 Unchanged
246006 4: Exit Surveys - Participants Other-HM Adult Exit Survey Unchanged
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 Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
07/31/2029 07/31/2029
176,756 176,756
45,122 45,122
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 176,756 176,756 0 0 0 0
Annual Time Burden (Hours) 45,122 45,122 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No