OMB control number

Building Bridges and Bonds (B3)

OMB 0970-0485 · HHS/ACF.

OMB 0970-0485

Latest Forms, Documents, and Supporting Material

Document Name
B3 - NonSub change request - OMB memo_10.04.2017.docx Justification for No Material/Nonsubstantive Change
11 - 6 Month Follow-up Employment Questionnaire Draft 1-20-17_track.docx Supplementary Document
10 - 6 Month Follow-up Survey for Sites testing Parenting Intervention_01_20_17_track.docx Supplementary Document
Attachment 22 - Video Consent Child.docx Supplementary Document
Attachment 21 - Video Consent Father.docx Supplementary Document
Appendix E - Assumptions for Calculation of Burden Estimates_Revised Jan 2017.docx Supplementary Document
Appendix B - Assent Materials for Fathers under 18.docx Supplementary Document
Appendix A - Consent Materials for Fathers.docx Supplementary Document
OMB memo - Non-substantive changes to B3 2017_02_01.docx Justification for No Material/Nonsubstantive Change
18 - Mobile Device Employment Survey_Tracked Changes_9.28.docx Supplementary Document
9 - Baseline Survey for Sites Testing Employment Intervention_Track Changes_10.12.16.docx Supplementary Document
OMB memo - Non-substantive changes to B3 baseline emp, mobile device surveys_10.12.2016.docx Justification for No Material/Nonsubstantive Change
NonSub CR Track Changes of 8 - Baseline Survey for Sites Testing Parenting Intervention Revised 9-16-16.docx Supplementary Document
OMB Memo - non-substantive changes to B3 baseline parenting survey_9.30.2016.docx Justification for No Material/Nonsubstantive Change
nFORM PIA Updated SUBMITTED FINAL 09292016.pdf Supplementary Document
Appendix H - Certificate of Confidentiality.pdf Supplementary Document
Appendix G - Survey Welcome Advance and Tracking Letters.docx Supplementary Document
Appendix F - Recruitment brochure for parenting intervention.pdf Supplementary Document
Appendix C - Consent forms for focus groups with mothers.docx Supplementary Document
B3_OMB_Supporting_Statement_B_Revised Jan 2017.docx Supporting Statement B
B3_OMB_Supporting_Statement_A_Revised Jan 2017.docx Supporting Statement A
21 – Consent for child video coding study (Co-Applicant Burden) Other-Consent
21 – Consent for child video coding study (Staff Burden) Other-Consent
20 - Post-session debrief for sites testing parenting intervention Other-Debrief
18 & 19 - Mobile device surveys Other-Survey
17 - Mother Focus Groups Other-Focus Group Protocol
16 - Participant focus groups Other-Focus Group Protocol
14 & 15 - Staff surveys Other-Survey
12 & 13 - Staff and management semi-structured interviews Other-Semi-structured interviews
10 & 11 - 6 month follow-up surveys Other-Follow up survey
8 & 9 - Baseline surveys Other-Baseline Survey
7 - Additional nFORM burden for non-Grantee site (Staff) Other-nFORM
7 - Additional nFORM burden for non-Grantee site (Applicant) Other-nFORM
6 - B3 tracking of attendance in services for program group members Other-Attendance tracker
5 - B3-specific enrollment data (Staff) Other-Enrollment data
5 - B3-specific enrollment data (Applicant) Other-Enrollment data
4 - B3-specific eligibility data (Staff) Other-Eligibility Data
4 - B3-specific eligibility data (Applicant) Other-Eligibility Data
3 - Consent Materials for Parents of Fathers under 18 (Staff) Other-Consent Materials
3 - Consent Materials for Parents of Fathers under 18 (Parent of Applicant) Other-Consent Materials
2 - Screening questions for employment intervention (Staff) Other-Screening Questions
2 - Screening questions for employment intervention (Applicant) Other-Screening Questions
1 - Screening questions for parenting intervention (Staff) Other-Screening Questions
1 - Screening questions for parenting intervention (Applicant) Other-Screening Questions

All Historical Document Collections

201710-0970-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2017-10-13
201702-0970-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-02-09
201610-0970-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-10-13
201609-0970-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-10-03
201604-0970-003 Approved with change	New collection (Request for a new OMB Control Number)	2016-04-13