Information Collection Request

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202212-0970-010 · 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⚠️ Notice: This information collection may be outdated.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 Name	Status
Form HM 6: Quarterly Performance Report (QPR) Form and Instruction	Unchanged
Form HM 5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Unchanged
BUILD_OMB_NSC_Memo_HMSurveys_toOPRE_12142022_clean.docx Justification for No Material/Nonsubstantive Change	2022-12-20
Attachment D_Assumptions for Calculations of Burden Estimates.docx Supplementary Document	2021-02-25
Attachment C_IRB Exemption for ACF-Sponsored Analysis of Performance Measures.pdf Supplementary Document	2021-02-25
Attachment B_60-Day FRN_HMRF nFORM_2020-26266.pdf Supplementary Document	2021-02-25
Attachment_A_Legislative Authority_Claims Res Act_SSA_Title IV_Part A_Section 403_HMRF grants.pdf Supplementary Document	2021-02-25
HMRF_2020cohort_OMB_Part_B_2.25.21_Final.docx Supporting Statement B	2021-02-25
HMRF_2020cohort_OMB_Part_A_2.25.21_Final_EOP (3-18-21)_toOPRE_03222021_final.docx Supporting Statement A	2021-03-22

IC Document Collections

IC ID	Document Title	Status
246012	7: CQI Plan Other-Template	Unchanged
246011	6: Quarterly Performance Report (QPR) Form and Instruction	Unchanged
246010	5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Unchanged
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	Unchanged
246004	2: Program Operations Other-Survey	Unchanged
246003	1: Applicant Characteristics - Program Staff Other-Survey	Unchanged
246002	1: Applicant Characteristics - Program Applicants Other-Survey	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/ACF
OMB Control No	0970-0566
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202204-0970-001
Agency Tracking No	OPRE
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31