OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Supporting Healthy Marriage (SHM) Evaluation 12 month follow-up data collection

ICR 200801-0970-002 · OMB 0970-0339 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Memo to OMB - Responses to follow-on Questions 04-14-08.doc Supplementary Document Uploaded 2008-04-23 Available
SHM Hypotheses and 12 Month Survey Questions_FINAL (2) 4-2-08 (2).doc Supplementary Document Uploaded 2008-04-23 Available
Memo to OMB - responses to Questions on SHM 12-mo 3-5-08 (3).doc Supplementary Document Uploaded 2008-04-23 Available
SHM PROJECT-12 month data collection OMB Justification statement.Section B.doc Supporting Statement B Uploaded 2007-12-11 Available
SHM PROJECT-12 month data collection OMB Justification statement.Appendices.doc Supplementary Document Uploaded 2007-12-06 Available
SHM 12 abstract.doc Supplementary Document Uploaded 2007-11-29 Repair queued
SHM PROJECT-12 month data collection OMB Justification statement.Section A.doc Supporting Statement A Uploaded 2007-12-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
183233 Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #3: Implementation Study Protocol Other-Implementation Study Protocol New
183232 Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #2: Observational Study Protocol Other-Observational Study Protocol New
183231 Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #1: Survey Other-Survey Instrument New
ICR Details
0970-0339 200801-0970-002
Historical Active
HHS/ACF
Supporting Healthy Marriage (SHM) Evaluation 12 month follow-up data collection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/23/2008
Retrieve Notice of Action (NOA) 01/03/2008
This information collection request is approved as amended by ACF's response memos of April 14th, April 2nd, and March 5th. Consistent with ACF's responses, the agency will evaluate its questionnaire via a pretest and should the survey instrument take longer than an average of 50 minutes to administer, ACF will consider measuring some constructs with fewer items. Should modification of the instruments be needed, ACF will advise OMB.
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved
15,864 0 0
11,793 0 0
0 0 0
See abstract uploaded as a word document.
PL: Pub.L. 42 - 131 1110 Name of Law: Social Security Act
  
None
Not associated with rulemaking
  72 FR 57047 10/05/2007
72 FR 69696 12/10/2007
No
  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 15,864 0 0 15,864 0 0
Annual Time Burden (Hours) 11,793 0 0 11,793 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection for a demonstration of programs to support healthy marriage among low-income couples with children.
$4,709,865
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Brendan Kelly 2024015695
  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.
01/03/2008