Program Information and management tool (TIES Table Template)

Testing Identified Elements for Success in Fatherhood Programs

Documents and Forms

Document Name Document Type
Instrument 2_TIES Table_Template.xlsm Other-Template
Instrument 2_TIES Table_Template.xlsm Other-Template

Information Collection (IC) Details

IC Title:	Program Information and management tool (TIES Table Template)	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-Template			Instrument 2_TIES Table_Template.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OPRE Research and Evaluation Project Records	FR Citation: 87 FR 57198

Number of Respondents: 20	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: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	640	-160	800
Annual IC Time Burden (Hours)	53	-14	67
Annual IC Cost Burden (Dollars)	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.