OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection

ICR 201503-0970-007 · OMB 0970-0460 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment H - FaMLE Focus Group confirmation letter and reminder script.docx Supplementary Document Uploaded 2015-03-23 Repair queued
Attachment G - Assumptions for Calculation of Burden Estimates 03 20 15.docx Supplementary Document Uploaded 2015-03-23 Available
Attachment F_Confidentiality pledge.pdf Supplementary Document Uploaded 2015-03-23 Available
Attachment E - Guidance on obtaining consent for local evaluations 031815.docx Supplementary Document Uploaded 2015-03-23 Available
Attachment C - Memo on FRN responses.docx Supplementary Document Uploaded 2015-03-23 Available
Attachment D- FaMLE Focus Group Informed Consent.docx Supplementary Document Uploaded 2015-03-23 Repair queued
Attachment A_Claims Res Act_SSA_Title IV_Part A_Section 403_RFHM grants.pdf Supplementary Document Uploaded 2015-03-23 Repair queued
Supporting Statement Part B - revised June 2015.docx Supporting Statement B Uploaded 2015-06-26 Available
Supporting Statement Part A - revised June 2015.docx Supporting Statement A Uploaded 2015-06-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
215795 DCS-6: Quarterly Performance Report Other-QPR HM Grantees New
215794 DCS-5: Semi-annual Progress Report Other-PPR HM Grantees New
215793 DCS 4: SAQ Pre-Test and Post-Test - Program Staff Entry Other-Pre-test HM Adults New
215792 DCS 4: SAQ Program Participants Post-Test Other-Post-test HM Youth New
215791 DCS 4: SAQ Program Participant Pre-Test Other-Pre-test HM Adults New
215790 DCS-3: Service Receipt in MIS Other-MIS New
215789 DCS-2: Grantee Program Operations Other-null New
215788 DCS-1: Applicant Characteristics - Program Staff Other-null New
215787 DCS-1: Applicant Characteristics - Program Applicants Other-null New
215786 DCI-3: Focus group Protocol Other-Topic Guide New
215785 DCI-2: Topic Guide on Program Implementation Other-Topic Guide New
215784 DCI-1: Topic Guide on Program Design Other-Topic Guide New
ICR Details
0970-0460 201503-0970-007
Historical Active
HHS/ACF
Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/09/2015
Retrieve Notice of Action (NOA) 03/27/2015
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved
575,381 0 0
180,090 0 0
0 0 0
In anticipation of the next round of Healthy marriage and responsible fatherhood (HMRF) grant funding expected to be awarded in September 2015, the Administration for Children and Families (ACF) contracted with Mathematica Policy Research to conduct the Fatherhood and Marriage Local Evaluation (FaMLE) Cross-Site project, with the dual goals of supporting quality and consistent collection of performance measures data, and fostering strong local evaluations by the next round of HMRF grantees. More specifically, Mathematica will: (1) collect information on the design and implementation of grantees' programs; and (2) develop data collection tools that grantees can use to collect information on program participation and participant outcomes for use in reporting performance and conducting evaluations. The project will rely on two complementary sources of data collection: (1) data collection by the contractor for cross-site analysis of program design and implementation, hereafter referred to as DCI (Data collected by the Contractor Itself); and (2) data collection by the grantees themselves for performance reporting and cross-site analysis, hereafter referred to as DCS (Data Collected for Cross-Site analyses).
PL: Pub.L. 111 - 291 811(b) Name of Law: Healthy Marriage Promotion and Promoting Responsible Fatherhood Grants of the Claims Resolution Act
  
None
Not associated with rulemaking
  79 FR 65973 11/06/2014
80 FR 15231 03/23/2015
Yes
  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 575,381 0 0 575,381 0 0
Annual Time Burden (Hours) 180,090 0 0 180,090 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$410,256
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Molly Buck 202 205-4724 [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.
03/27/2015