DCS-6: Quarterly Performance Report

Fatherhood and Marriage Local Evaluation and Cross-Site Data Collection

Documents and Forms

Document Name Document Type
Instrument_DCS-6HM_QPR_For_HM_Grantees_20180629.docx Other-QPR HM Grantees
Instrument_DCS-6RF_QPR_For_RF_Grantees_20180629.docx Other-QPR RF Grantees

Information Collection (IC) Details

IC Title:	DCS-6: Quarterly Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-QPR HM Grantees			Instrument_DCS-6HM_QPR_For_HM_Grantees_20180629.docx		Yes	Yes	Fillable Fileable
Other-QPR RF Grantees			Instrument_DCS-6RF_QPR_For_RF_Grantees_20180629.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	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.