OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation

ICR 201603-0970-006 · OMB 0970-0481 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment Q_Description of potential STREAMS sites_06202016.docx Supplementary Document Uploaded 2016-06-23 Available
Attachment P_STREAMS_Adult follow-up survey advance letter_3-1-15.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment O_STREAMS_Adult follow-up survey_reminder text message_final.docx Supplementary Document Uploaded 2016-06-23 Repair queued
Attachment N_STREAMS_Adult follow-survey reminder postcards_3-1-16.docx Supplementary Document Uploaded 2016-03-09 Available
Attachment M_STREAMS_Youth and Parent_Follow-up survey advance letters_ 2-26-16.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment L_STREAMS_Youth follow up phone script _2-26-16.docx Supplementary Document Uploaded 2016-03-09 Available
Attachment K_STREAMS_Mathematica Confidentiality pledge_2-26-16.pdf Supplementary Document Uploaded 2016-03-09 Available
Attachment I_STREAMS_Focus group recruitment flyer_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment H_STREAMS_Focus group confirmation email letter_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment G_STREAMS_Consent statement for adult participants_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Available
Attachment F_STREAMS _Youth assent form_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment E_STREAMS_Parent consent form_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Repair queued
Attachment C_STREAMS_Adult baseline question by question justification_2-26-16.docx Supplementary Document Uploaded 2016-03-09 Available
Attachment B_STREAMS_Youth baseline and follow up question by question justification_final.docx Supplementary Document Uploaded 2016-06-23 Repair queued
Attachment A_STREAMS_Legislative authority_2-26-16.pdf Supplementary Document Uploaded 2016-03-09 Repair queued
STREAMS_Supporting Statement B_2-26-16.docx Supporting Statement B Uploaded 2016-03-09 Repair queued
STREAMS_Supporting Statement A_Final June 2016.docx Supporting Statement A Uploaded 2016-06-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
220540 Follow-up survey for adults Other-Follow up Survey New
220539 Baseline survey for adults Other-Baseline Survey New
220538 Follow-up survey for youth Other-Follow up Survey New
220537 Baseline survey for youth Other-Baseline Survey New
220536 Add-on to nFORM to conduct random assignment Other-RA items - nFORM New
220535 Introductory script, program applicants Other-Intro New
220534 Introductory script, grantee staff Other-Intro New
220533 Session adherence form Other-null New
220532 Staff survey Other-Survey New
220530 Focus group guide for youth in schools Other-Focus Group Protocol New
220529 Focus group guide for adults Other-Focus Group Protocol New
220528 Topic guide for staff and stakeholder interviews Other-Topic guide New
ICR Details
0970-0481 201603-0970-006
Historical Active
HHS/ACF
Strengthening Relationship Education and Marriage Services (STREAMS) Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/05/2016
Retrieve Notice of Action (NOA) 03/15/2016
  Inventory as of this Action Requested Previously Approved
07/31/2019 36 Months From Approved
14,988 0 0
3,579 0 0
0 0 0
The Office of Planning, Research, and Evaluation (OPRE) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services seeks approval to collect process and impact study data from six healthy marriage and relationship education (HMRE) programs funded by the Office of Family Assistance (OFA) within ACF. This information collection is being carried out as part of the Strengthening Relationship Education and Marriage Services (STREAMS) evaluation. The purpose of STREAMS is to measure the effectiveness and quality of HMRE programs, program components, and implementation factors designed to strengthen and improve the quality of romantic relationships. The evaluation will examine HMRE programs serving both youth and adults and will fill knowledge gaps about the effectiveness of these programs and strategies for improving program delivery and participant engagement in services.
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
  80 FR 76499 12/09/2015
81 FR 13370 03/14/2016
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 14,988 0 0 14,988 0 0
Annual Time Burden (Hours) 3,579 0 0 3,579 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection.
$5,173,570
No
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.
03/15/2016