Information Collection

Federal Set-aside Program Of The Maternal And Child Health Services Block Grant Program -- 42 Cfr 51a.4

IC 110159 under ICR 199303-0915-001 · OMB 0915-0050.

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Information Collection (IC) Details

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IC Title:	FEDERAL SET-ASIDE PROGRAM OF THE MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT PROGRAM -- 42 CFR 51A.4	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

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