Application and Submission Information for FY 2012 Competitive FOA

Maternal, Infant, and Early Childhood Home Visiting Program FY 2012 Competitive Funding Opportunity Announcement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0351 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Application and Submission Information for FY 2012 Competitive FOA Form and Instruction
1 Application and Submission Information Instrument.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Application and Submission Information for FY 2012 Competitive FOA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	1	Application and Submission Information	Instrument.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	900	900
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.