Information Collection

Healthy Marriage and Responsible Fatherhood Data Capacity and Continuous Quality Improvement Plan Template

IC 279287 under ICR 202611-0970-004 · OMB 0970-0531.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BUILD_CQI_DataCapacity_PlanTemplate_CLEAN_toOPRE_02272026.docx	Other-Template
HMRF_OMB_2025_0970-0531_Part A_REV_20260219_clean.docx Prog Supp GenIC - Healthy Marriage and Responsible Fatherhood Data Capacity and Continuous Quality Improvement Plan Template	IC Document

IC Title:

Agency IC Tracking Number:

OPRE

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: 109

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	109	109
Annual IC Time Burden (Hours)	654	654
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Prog Supp GenIC - Healthy Marriage and Responsible Fatherhood Data Capacity and Continuous Quality Improvement Plan Template		03/03/2026

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

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