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DCS 4: SAQ Program Participant Pre-Test
Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection
OMB: 0970-0460
IC ID: 215791
OMB.report
HHS/ACF
OMB 0970-0460
ICR 201807-0970-003
IC 215791
( )
Documents and Forms
Document Name
Document Type
Instrument DCS-4RF_1_Pre-Test For Community Fathers.docx
Other-Pre-test RF Comm Fathers
Instrument DCS-4HM_3_Pre-Test For Youth.docx
Other-Pre-test Youth
Instrument DCS-4HM_1_Pre-Test For Adults_UpdatedSkips_20180629.docx
Other-Pre-test HM Adults
Instrument DCS-4RF_3_Pre_Test For Incarcerated Fathers_UpdatedSkips_20180629.docx
Other-Pre-test RF Inc Fathers
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DCS 4: SAQ Program Participant Pre-Test
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Pre-test RF Comm Fathers
Instrument DCS-4RF_1_Pre-Test For Community Fathers.docx
Yes
Yes
Fillable Fileable
Other-Pre-test Youth
Instrument DCS-4HM_3_Pre-Test For Youth.docx
Yes
Yes
Fillable Fileable
Other-Pre-test HM Adults
Instrument DCS-4HM_1_Pre-Test For Adults_UpdatedSkips_20180629.docx
Yes
Yes
Fillable Fileable
Other-Pre-test RF Inc Fathers
Instrument DCS-4RF_3_Pre_Test For Incarcerated Fathers_UpdatedSkips_20180629.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
79,831
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
79,831
0
-31,844
0
0
111,675
Annual IC Time Burden (Hours)
33,529
0
-13,375
0
0
46,904
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.