OMB control number

Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection

OMB 0970-0460 · HHS/ACF.

OMB 0970-0460

This information collection request (ICR) is for renewal of clearance for OMB package # 0970-0460, which was originally approved in July 2015 to collect information for the Fatherhood and Marriage Local Evaluation (FaMLE) and Cross-Site Project. The FaMLE Cross-Site Project gathers information from the current round of healthy marriage (HM) and responsible fatherhood (RF) grantees. The HM and RF grants were awarded in fall 2015. ACF contracted with Mathematica Policy Research to conduct the FaMLE Cross-Site project, with the dual goals of supporting quality and consistent collection of performance measures data, and fostering strong local evaluations by the 2015 cohort of HMRF grantees. More specifically, Mathematica: (1) collects information on the design and implementation of grantees’ programs; and (2) has developed and maintains data collection tools that grantees use to collect information on program participation and participant outcomes for use in reporting performance and conducting evaluations. The project relies on two complementary, ongoing sources of data collection: (1) data collection by the contractor for cross-site analysis of program design and implementation, hereafter referred to as DCI (Data collected by the Contractor Itself); and (2) data collection by the grantees themselves for performance reporting and cross-site analysis, hereafter referred to as DCS (Data Collected for Cross-Site analyses). OMB renewal will allow these sources of data collection to continue for another three years.

The latest form for Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection expires 2021-09-30 and is listed under ICR 201807-0970-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Attachment_D_IRB-Guidance_20180629.pdf Supplementary Document
Attachment_F_Assumptions for Calculation of Burden Estimates_20180629.docx Supplementary Document
Attachment_B_60-Day_FederalRegisterNotice_20180629.pdf Supplementary Document
Attachment_C_FaMLE_FocusGroupInformedConsent_20180629.docx Supplementary Document
Attachment_G_FaMLE Focus Group confirmation letter and reminder script_20180629.docx Supplementary Document
Attachment_E_ConfidentialityPledge_20180629.pdf Supplementary Document
Attachment A_Claims Res Act_SSA_Title IV_Part A_Section 403_RFHM grants.pdf Supplementary Document
2.FaMLE_SupportingStatement_PartB_renewal_20180629.docxSupporting Statement B
1.FaMLE_SupportingStatement_PartA_renewal_20180629.docxSupporting Statement A
DCS-6: Quarterly Performance Report Other-QPR HM Grantees
DCS-5: Semi-annual Progress Report Other-PPR HM Grantees
DCS 4: SAQ Pre-Test and Post-Test - Program Staff Entry Other-Pre-test HM Adults
DCS 4: SAQ Program Participants Post-Test Other-Post-test HM Youth
DCS 4: SAQ Program Participant Pre-Test Other-Pre-test RF Comm Fathers
DCS-3: Service Receipt in MIS Other-MIS
DCS-2: Grantee Program Operations Other-null
DCS-1: Applicant Characteristics - Program Staff Other-null
DCS-1: Applicant Characteristics - Program Applicants Other-null
DCI-3: Focus group Protocol Other-Topic Guide
DCI-2: Topic Guide on Program Implementation Other-Topic Guide
DCI-1: Topic Guide on Program Design Other-Topic Guide

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201807-0970-003 Revision of a currently approved collection 2018-07-06 Approved without change
201602-0970-007 No material or nonsubstantive change to a currently approved collection 2016-02-24 Approved without change
201503-0970-007 New collection (Request for a new OMB Control Number) 2015-03-27 Approved with change

OMB Details

DCI-1: Topic Guide on Program Design

Federal Enterprise Architecture: Community and Social Services - Social Services