Evaluation of The Marriage and Family Strengthening Grants

Forms and Documents

Document Name	Status
0990-0331MFS-IP Supporting Statement for OMB Renewal Application Part A REV2 Final.docx Supporting Statement A	2014-06-18
0990-0331_Appendix A_instruments.docx Supplementary Document	2014-06-18
0990-0331_appendix B_consent forms.docx Supplementary Document	2014-06-17
0990-0331NonsubstantiveModification.docx Justification for No Material/Nonsubstantive Change	2014-06-17
MFS OMB Incentives_6_2012 (2).doc Supplementary Document	2012-08-21
0990-0331MFS-IP Supporting Statement for OMB Renewal Application PartB Final.docx Supporting Statement B	2011-11-09
0990-0331Renewal Part A_ Appendix C Informed Consent Forms.doc Supplementary Document	2011-11-10
0990-0331Renewal Part B-Appendix I Overview of MFS-IP Programs.docx Supplementary Document	2011-11-10
0990-0331Renewal Part B_Appendix H Pilot Test Feedback Form.doc Supplementary Document	2011-11-10
0990-0331Renewal Part A_Appendix E IRB Approval.pdf Supplementary Document	2011-11-10

IC Document Collections

IC ID	Document Title	Status
212436	MFS-IP Follow back Interviews Female Post-release Other-interview	New
212435	MFS-IP Follow-back Interviews Male Post-release Other-interview	New
212434	MFS-IP Follow back interviews Female Pre-release Other-null	New
212432	MFC-IP Follow-back Interviews Male Pre-release Other-null	New
184575	MFS-IP Follow up survey-(34 month) Female Other-survey	Unchanged
184574	MFS-IP Follow up Survey- 34 months-Male Other-survey	Unchanged
184573	MFS-IP Follow-up Survey- (9/18 month)Female Other-survey	Unchanged
184572	MFS-IP Follow-up Survey-(9/18 month)Male Other-survey	Modified

ICR Details

OMB Control No: 0990-0331	ICR Reference No: 201405-0990-005
Status: Historical Active	Previous ICR Reference No: 201111-0990-003
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Evaluation of The Marriage and Family Strengthening Grants
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/25/2014
	Date Received in OIRA: 06/18/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	08/31/2015	08/31/2015
Responses	1,936	0	1,736
Time Burden (Hours)	2,906	0	2,606
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Family Assistance within the Administration for Children and Families ACF is conducting a dmeonstration program called Marriage and Family stregthening Grants for Incarerated and Re-entering Fathers and their partners (MFS-IP). These demonstration programs are funded to support activities in the areas of marriage strengthening and responsible fatherhood among incarcerated and recently released fathers, their partners, and children.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 403 Name of Law: DRA
  

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:
	76 FR 51980	08/19/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 71036	11/16/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
MFC-IP Follow-back Interviews Male Pre-release
MFS-IP Follow back Interviews Female Post-release
MFS-IP Follow back interviews Female Pre-release
MFS-IP Follow-back Interviews Male Post-release
MFS-IP Follow-up Survey-(9/18 month)Male
MFS-IP Follow-up Survey- (9/18 month)Female
MFS-IP Follow up Survey- 34 months-Male
MFS-IP Follow up survey-(34 month) Female

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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	1,936	1,736	0	200	0	0
Annual Time Burden (Hours)	2,906	2,606	0	300	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: No

Burden Reduction Due to:

Short Statement: Follow back interviews with up to 100 couples from our logitudinal study sampple of 1500 couples. Follow-back interviews will focus on the domains and constructs included in the quantitative follow0up surveys, with the intent of obtaining clarifying information on participants survey responses for a small number of items from the quantitative survey.

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Annual Cost to Federal Government: $1,041,317

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 06/18/2014

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