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Fatherhood Family-Focused, Interconnected, Resilient, and Essential (Fatherhood FIRE) Grantee Local Evaluation Plan Template
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 263860
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202504-0970-028
IC 263860
( )
Documents and Forms
Document Name
Document Type
Instrument_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN2.docx
Other-Template
Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_2024-2025_fnl.docx
SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template
IC Document
NOA_Fatherhood FIRE_12.17.2020.pdf
NOA 2020 - Fatherhood FIRE Grantee Local Evaluation Plan Template
IC Document
NOA - Formative Generic ACF Research_0970-0356_2.22.21.pdf
NOA 2021 - Fatherhood FIRE Grantee Local Evaluation Plan Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Fatherhood Family-Focused, Interconnected, Resilient, and Essential (Fatherhood FIRE) Grantee Local Evaluation Plan Template
Agency IC Tracking Number:
IC Status:
Unchanged
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_Fatherhood FIRE Evaluation Plan Template_rev3_updated CLEAN2.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:
42
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 %
Requested
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
861
0
0
0
0
861
Annual IC Time Burden (Hours)
980
0
0
0
0
980
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template
Generic SSA - Fatherhood FIRE Grantee Local Evaluation Plan Template_2024-2025_fnl.docx
12/11/2023
NOA 2020 - Fatherhood FIRE Grantee Local Evaluation Plan Template
NOA_Fatherhood FIRE_12.17.2020.pdf
12/11/2023
NOA 2021 - Fatherhood FIRE Grantee Local Evaluation Plan Template
NOA - Formative Generic ACF Research_0970-0356_2.22.21.pdf
12/11/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.