OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Community Healthy Marriage Initiative -- Impact Evaluation - Wave 2

ICR 200906-0970-005 · OMB 0970-0322 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Part B.doc Supporting Statement B Uploaded 2009-06-10 Available
Attachment D - Nonresponse bias report.doc Supplementary Document Uploaded 2009-06-10 Available
ATTACHMENT C - Lead Letters.doc Supplementary Document Uploaded 2009-06-10 Repair queued
ATTACHMENT B - Informed consent.doc Supplementary Document Uploaded 2009-06-10 Available
Part A.doc Supporting Statement A Uploaded 2009-06-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
179582 Wave 2 Survey instrument Other-Wave 2 Survey instrument Modified
179581 Screening Other-screening Removed
ICR Details
0970-0322 200906-0970-005
Historical Active 200704-0970-002
HHS/ACF
Evaluation of the Community Healthy Marriage Initiative -- Impact Evaluation - Wave 2
Revision of a currently approved collection   No
Regular
Approved without change 09/15/2009
Retrieve Notice of Action (NOA) 06/25/2009
  Inventory as of this Action Requested Previously Approved
09/30/2010 12 Months From Approved 07/31/2010
4,120 0 13,531
3,090 0 3,332
0 0 0
The purpose of the submission is to request OMB approval of changes to the information collection instrument to be used in the second wave of data collection. As indicated in the initial supporting statement for the instrument, the evaluation design calls for follow-up information collection to assess the impacts of married education programming and related services on various domains of outcomes for adults and children.
US Code: 42 USC 1310 Name of Law: Cooperative Research or Demonstration Projects
  
None
Not associated with rulemaking
  73 FR 61875 10/17/2008
74 FR 29214 06/19/2009
Yes
1
IC Title Form No. Form Name
Wave 2 Survey instrument
Screening
  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 4,120 13,531 0 -9,411 0 0
Annual Time Burden (Hours) 3,090 3,332 0 -242 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The change is based on administering a second wave of data collection with some changes to the first wave instrument.
$2,000,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Seth Chamberlain 202 260-2242 [email protected]
  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.
06/25/2009