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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Evaluation Plan Template (SECOND SIMR SUBMISSION)
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
Appendix A_SIMR OMB_Evaluation Plan Template_12-14-20_clean.docx
Yes
Yes
Fillable Fileable
Instruction
Appendix B_SIMR OMB_Evaluation Plan Template Instructions_12-14-20_clean.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:
43
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 %
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
43
0
43
0
0
0
Annual IC Time Burden (Hours)
344
0
344
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - GenIC SIMR Eval Plan Template
50898 SIMR_OMB_EvalPlans_StatementA_12-15-20_clean_final.docx
01/07/2021
Appendix C - Email
Appendix C_SIMR OMB_Evaluation Plan Email Template_12-14-20_clean.docx
01/07/2021
NOA - SIMR Eval Plan Template
NOA_SIMR Eval Template_12.17.2020.pdf
01/07/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.