OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Healthy Marriage and Responsible Fatherhood Local Evaluation Final Report Templates

ICR 202412-0970-001 · OMB 0970-0640 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Supporting Statement A_HMRF Local Eval Final Rpts_21Nov2024_Clean - final.docx Supporting Statement A Uploaded 2024-12-03 Repair queued
Appendix D_Impact Evaluation Final Report Dissemination Email.docx Supplementary Document Uploaded 2024-12-03 Repair queued
Appendix C_Descriptive Evaluation Final Report Dissemination Email.docx Supplementary Document Uploaded 2024-12-03 Repair queued
Appendix B_Instructions for the Impact Evaluation Final Report Template.docx Supplementary Document Uploaded 2024-12-03 Missing upstream
Appendix A_Instructions for the Descriptive Evaluation Final Report Template.docx Supplementary Document Uploaded 2024-12-03 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
272760 Instrument 3: Impact Evaluation Final Report Table Shells Other-Report Table Shells New
272759 Instrument 2: Impact Evaluation Final Report Template Other-Report Template New
272758 Instrument 1: Descriptive Evaluation Final Report Template Other-Report Template New
ICR Details
202412-0970-001
Received in OIRA
HHS/ACF
Healthy Marriage and Responsible Fatherhood Local Evaluation Final Report Templates
New collection (Request for a new OMB Control Number)   No
Regular 12/06/2024
  Requested Previously Approved
15 Months From Approved
108 0
3,160 0
0 0
The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval of the Healthy Marriage and Responsible Fatherhood (HMRF) Final Report Templates. HMRF grant recipients carrying out local evaluations of their programs are required to submit a final evaluation report to ACF at the end of their grant. This request includes templates for grant recipients to use to document their evaluation’s analysis and findings. In addition, the information collected in the final report templates will inform technical assistance provided to grant recipients as they develop the final reports to ACF to fulfill the grant requirement.
US Code: 42 USC 603(a)(2) Name of Law: Public Health and Welfare; Use of Grants
  
None
Not associated with rulemaking
  89 FR 80904 10/04/2024
89 FR 97010 12/06/2024
No
  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 108 0 0 108 0 0
Annual Time Burden (Hours) 3,160 0 0 3,160 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$353,148
No
    No
    No
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.
12/06/2024