Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report

The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report

OMB: 0906-0016

IC ID: 218304

Information Collection (IC) Details

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Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Appendix B. MIECHV Quarterly Report Form 4 Appendix B. MIECHV Quarterly Report Form 4 .docx Yes Yes Fillable Fileable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   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 224 0 -264 0 0 488
Annual IC Time Burden (Hours) 4,704 0 -14,048 0 0 18,752
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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