Information Collection

Federal Set-Aside Program of the Maternal and Child Health Services Block Grant Program - 42 CFR 51a.4

IC 6337 under ICR 199604-0915-001 · OMB 0915-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0050 can be found here:

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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: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 1 %

	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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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.