Information Collection

Maternal and Child Health Services Block Grant Report

IC 6398 under ICR 200812-0915-001 · OMB 0915-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0172 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form mchb block grant g Maternal and Child Health Services Block Grant Report	Form and Instruction
mchb block grant g MCHB Block Grant Guidance MCH Block Grant Guidance for OMB Clearance 2008.doc mchb.hrsa.gov/data/	Form and Instruction

IC Title:

Maternal and Child Health Services Block Grant Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	mchb block grant guidance -2009	MCHB Block Grant Guidance	MCH Block Grant Guidance for OMB Clearance 2008.doc	http://mchb.hrsa.gov/data/	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	18,064	18,064
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.