Home Visiting Program FY11 Competitive FOA

Maternal, Infant and Early Childhood Home Visiting Program- FY11 FOA

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0339 can be found here:

Documents and Forms

Document Name Document Type
Form FOA1 Home Visiting Program FY11 Competitive FOA Form and Instruction
FOA1 FY11 Competitive FOA MIECHV FY 2011 competitive FOA draft May 12 2011.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Home Visiting Program FY11 Competitive FOA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	FOA1	FY11 Competitive FOA	MIECHV FY 2011 competitive FOA draft May 12 2011.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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 New Statute
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	3,840	3,840
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.