Information Collection Request
Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection
ICR 202402-0970-008 · OMB 0970-0566 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0566 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form HM 6: Quarterly Performance Report (QPR) |
Form and Instruction | Modified | Repair queued |
| Form HM 5: Semi-annual Performance Progress Report (PPR) |
Form and Instruction | Modified | Repair queued |
 HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx |
Supplementary Document | Uploaded 2024-02-14 | Repair queued |
 HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf |
Supplementary Document | Uploaded 2024-02-14 | Repair queued |
| HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf |
Supplementary Document | Uploaded 2024-02-14 | Repair queued |
| HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx |
Supporting Statement B | Uploaded 2024-02-14 | Repair queued |
| HMRF_OMB_0970-0566_revision_Part_A_02022024_clean.docx |
Supporting Statement A | Uploaded 2024-02-14 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 246012 |  7: Continuous Quality Improvement (CQI) Plan |
Other-Template | Modified | |
| 246011 | 6: Quarterly Performance Report (QPR) |
Form and Instruction | Modified | |
| 246010 | 5: Semi-annual Performance Progress Report (PPR) |
Form and Instruction | Modified | |
| 246008 | 4: Entrance and Exit Surveys - Program staff (entrance and exit on paper) |
Other-HM Adult Entrance Survey | Modified | |
| 246007 | 4: Entrance and Exit Surveys - Program clients (exit) |
Other-HM Adult Exit Survey | Modified | |
| 246006 | 4: Entrance and Exit Surveys - Program clients (entrance) |
Other-HM Adult Entrance Survey | Modified | |
| 246005 | 3: Service Delivery Data |
Other-Reporting System | Modified | |
| 246004 | 2: Program Operations |
Other-Survey | Modified | |
| 246003 | 1: Applicant Characteristics - Program Staff |
Other-Survey | Modified | |
| 246002 | 1: Applicant Characteristics - Program Applicants |
Other-Survey | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0566 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202309-0970-001 |
| Agency Tracking No | OPRE |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |