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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Community Healthy Marriage Initiative Implementation Study

ICR 200506-0970-001 · OMB 0970-0283 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
10141 Evaluation of the Community Healthy Marriage Initiative Implementation Study Migrated
ICR Details
0970-0283 200506-0970-001
Historical Active
HHS/ACF
Evaluation of the Community Healthy Marriage Initiative Implementation Study
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/08/2005
Retrieve Notice of Action (NOA) 06/08/2005
While the $30 incentive for focus group participants is accep- table, OMB notes that these payments should not be intended to repay participants for time and expenses, but rather to encourage participation in the information collection.
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008
400 0 0
440 0 0
0 0 0
The evaluation of the Community Healthy Marriage Initiative is aimed at testing the efficacy of individual services and community efforts to support healthy marriages. Respondents for the implementation study instrument in this collection submission are program staff and service recipients.
None
None
No
1
IC Title Form No. Form Name
Evaluation of the Community Healthy Marriage Initiative Implementation Study
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 400 0 0 400 0 0
Annual Time Burden (Hours) 440 0 0 440 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/08/2005