Information Collection Request

Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection

ICR 202502-0970-045 · OMB 0970-0566 · Active

Forms and Documents

Document Name	Status
Form HM2 6: Quarterly Performance Report (QPR) Form and Instruction	Modified
Form HM2 6: Quarterly Performance Report (QPR) Form and Instruction	Modified
Form HM2 5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Modified
Form HM2 5: Semi-annual Performance Progress Report (PPR) Form and Instruction	Modified
HMRF_2020cohort_OMB_Part_A_2.25.21_2025-EOedits_adf_clean.docx Supporting Statement A	2025-03-10
HMRF_2020cohort_OMB_Part_A_2.25.21_2025-EOedits_adf_clean.docx Supporting Statement A	2025-03-10
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx Justification for No Material/Nonsubstantive Change	2025-02-27
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx Justification for No Material/Nonsubstantive Change	2025-02-27
HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_AppC_BurdenAssumptions_02022024_clean.docx Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_B_IRB_Exemption.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_App_A_LegislativeAuthority.pdf Supplementary Document	2024-02-14
HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx Supporting Statement B	2024-02-14
HMRF_OMB_0970-0566_revision_Part_B_rev_02022024_clean.docx Supporting Statement B	2024-02-14

IC Document Collections

IC ID	Document Title	Status
246012	7: Continuous Quality Improvement (CQI) Plan Other-Template	Unchanged
246011	6: Quarterly Performance Report (QPR) Form and Instruction	Modified
246011	6: Quarterly Performance Report (QPR) Form and Instruction	Modified
246010	5: Semi-annual Performance Progress Report (PPR) 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	Unchanged
246007	4: Entrance and Exit Surveys - Program clients (exit) Other-HM Adult Exit Survey	Unchanged
246006	4: Entrance and Exit Surveys - Program clients (entrance) Other-HM Adult Entrance Survey	Unchanged
246005	3: Service Delivery Data Other-Reporting System	Unchanged
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	Active
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	202402-0970-008
Agency Tracking No	OPRE
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31