View Information Collection (IC)

View Information Collection (IC)

IC Title:	Healthy Marriage and Responsible Fatherhood Grantee Data Collection Plan Template	Agency IC Tracking Number:

IC Status: New

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-Template			BUILD_DataCollectionPlanTemplate_11202020_toOPRE_120220.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: 113	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: 0 %

	Approved	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	113	0	113	0	0	0
Annual IC Time Burden (Hours)	678	0	678	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - Formative Generic ACF Prog Support - BUILD GenIC	HMRF Grantee DataCollectionPlan_OMB_SSA_12092020_REV_KP 121420_clean_final.docx	12/14/2020

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