OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Testing Identified Elements for Success in Fatherhood Programs

ICR 202310-0970-003 · OMB 0970-0622 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
TIES_Supporting Statement A_Clean.docx Supporting Statement A Uploaded 2023-10-04 Missing upstream
TIES_Supporting Statement B_Clean.docx Supporting Statement B Uploaded 2023-10-04 Repair queued
Appendix 2_TIES_IRB Approval Letter.pdf Supplementary Document Uploaded 2023-10-04 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
262665 TIES Reflection from Fathers Other-Reflection New
262664 TIES Reflection from Staff Other-Reflections New
262663 Program Information and management tool (TIES Table Template) Other-Template New
262662 TIES Baseline Survey Other-Survey New
262661 TIES Consent Materials for Fathers (over 18 years old) Other-Consent material New
ICR Details
202310-0970-003
Received in OIRA
HHS/ACF
Testing Identified Elements for Success in Fatherhood Programs
New collection (Request for a new OMB Control Number)   No
Regular 10/06/2023
  Requested Previously Approved
28 Months From Approved
5,828 0
1,344 0
0 0
This is the first of two information collection requests for the Testing Identified Elements for Success in Fatherhood Programs (Fatherhood TIES) study. In this request, approval is being sought for the first phase of study data collection to gather consent from fathers to participate in the study, to ask fathers baseline survey questions when they enroll in the study beyond what the program already collects as part of their program enrollment processes, and to obtain information about program processes and outcomes during the study period to support the study teams’ understanding of implementation and how it could be improved.
None
None
Not associated with rulemaking
  88 FR 47884 07/25/2023
88 FR 69641 10/06/2023
Yes
  Total Request 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 5,828 0 0 5,828 0 0
Annual Time Burden (Hours) 1,344 0 0 1,344 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$740,314
No
    Yes
    Yes
No
No
No
No
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.
10/06/2023