Supporting Healthy Marriage (SHM) Demonstration and Evaluation Project - Wave 2 Survey

Forms and Documents

Document Name	Status
Supporting Statement Part B.doc Supporting Statement B	2009-08-19
Attachment 1 - Certificate of Confidentiality.pdf Supplementary Document	2009-08-19
FINAL Supporting Statement Part A - Revised - 11-24-09.doc Supporting Statement A	2009-11-24

IC Document Collections

IC ID	Document Title	Status
190528	#5 - Child Observation Study - Wave 2 Other-#5 - Child Observation Study - Wave 2	New
190527	#4 - Youth Survey - Wave 2 Other-#4 - Youth Survey - Wave 2	New
190526	#3 - Adult Survey - Wave 2 Other-#3 - Adult Survey - Wave 2	New
183233	Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #3: Implementation Study Protocol Other-Implementation Study Protocol	Removed
183232	#2 - Adult and Child Observation Study - Wave 1 Other-#2 - Adult and Child Observation Study - Wave 1	Modified
183231	#1 - Adult Survey Wave 1 Other-#1 - Adult Survey Wave 1	Modified

ICR Details

OMB Control No: 0970-0339	ICR Reference No: 200908-0970-007
Status: Historical Active	Previous ICR Reference No: 200801-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Supporting Healthy Marriage (SHM) Demonstration and Evaluation Project - Wave 2 Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/08/2009
	Date Received in OIRA: 08/31/2009
Terms of Clearance: ACF is reminded of the upcoming blackout for the 2010 Census.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	36 Months From Approved	04/30/2011
Responses	12,944	0	15,864
Time Burden (Hours)	9,412	0	11,793
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of the submission is to request OMB approval of changes to the information collection instrument to be used in the second wave of data collection. As indicated in the initial supporting statement for the instrument, the evaluation design calls for two rounds of follow-up information collection to assess the impacts of a married education program and support services on various domains of outcomes for adults and children.

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Authorizing Statute(s): PL: Pub.L. 42 - 131 1110 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 12135	03/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 27042	06/05/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
#3 - Adult Survey - Wave 2
#4 - Youth Survey - Wave 2
#5 - Child Observation Study - Wave 2
Supporting Healthy Marriage (SHM) Project - 12 month follow up data collection. Instrument #3: Implementation Study Protocol
#1 - Adult Survey Wave 1
#2 - Adult and Child Observation Study - Wave 1

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ICR Summary of Burden

	Total Approved	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	12,944	15,864	0	-2,920	0	0
Annual Time Burden (Hours)	9,412	11,793	0	-2,381	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The annual burden will decrease by 2,381 burden hours due to the original estimate being erroneously calculated based on the full, rather than annual, burden. The burden associated with wave 1 is a continuation, while the 4,524 hours associated with wave 2 is new.

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Annual Cost to Federal Government: $1,913,493

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/31/2009

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