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6: Quarterly Performance Report (QPR)
Healthy Marriage and Responsible Fatherhood Performance Measures and Additional Data Collection
OMB: 0970-0566
IC ID: 246011
OMB.report
HHS/ACF
OMB 0970-0566
ICR 202502-0970-045
IC 246011
( )
Documents and Forms
Document Name
Document Type
Form HM2
6: Quarterly Performance Report (QPR)
Form and Instruction
Form HM2
6: Quarterly Performance Report (QPR)
Form and Instruction
HM2 HM QPR
Attachment_J_Instrument 6HM_QPR_013125_clean.docx
Form and Instruction
HM2 HM QPR
Attachment_J_Instrument 6HM_QPR_013125_clean.docx
Form and Instruction
RF2 RF QPR
Attachment_J_Instrument 6RF_QPR_013125_clean.docx
Form and Instruction
RF2 RF QPR
Attachment_J_Instrument 6RF_QPR_013125_clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
6: Quarterly Performance Report (QPR)
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
Form and Instruction
HM2
HM QPR
Attachment_J_Instrument 6HM_QPR_013125_clean.docx
Yes
Yes
Fillable Fileable
Form and Instruction
RF2
RF QPR
Attachment_J_Instrument 6RF_QPR_013125_clean.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:
OPRE Research and Evaluation Project Records
FR Citation:
87 FR 57198
Number of Respondents:
110
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 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
220
0
0
0
0
220
Annual IC Time Burden (Hours)
220
0
0
0
0
220
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.