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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Examining Equity of the Administration for Children and Families' Healthy Marriage and Responsible Fatherhood (HMRF) Client Surveys
Agency IC Tracking Number:
OPRE
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Recruitment Protocol
Instrument 1_Grant recipient recruitment protocol_July2024_rev.docx
Yes
Yes
Printable Only
Other-Survey
Instrument 2_Participant demographic surveys_073024.docx
Yes
Yes
Fillable Fileable
Other-Focus group protocol
Instrument 3_HM youth focus group _intv protocol_07302024 PC.docx
Yes
Yes
Printable Only
Other-Focus Group Protocol
Instrument 4_HM adult focus group_intv protocol_07302024 PC.docx
Yes
Yes
Printable Only
Other-Focus Group Protocol
Instrument 5_RF community fathers focus group_intv protocol_07302024 PC.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
156
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
156
0
0
0
0
156
Annual IC Time Burden (Hours)
134
0
0
0
0
134
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Examining Equity of ACF HMRF Client Surveys
BUILD STR4 - SSA - Generic for Engagement Activities_07302024.docx
08/08/2024
SSB - Examining Equity of ACF HMRF Client Surveys
BUILD STR4 - SSB - Generic for Engagement Activities 07302024.docx
08/08/2024
Appendix A: Outreach to grant recipients
Appendix A_Stack_Grant recipient outreach_July2024_rev.docx
08/08/2024
Appendix B: Client consent
Appendix B_Stack_Participant consent_07302024 PC.docx
08/08/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.