Maternal and Child Health Services Block Grant Report

ICR 201111-0915-003

OMB: 0915-0172

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2011-11-08
Supplementary Document
2011-11-08
Supplementary Document
2011-11-08
Supplementary Document
2011-11-08
Supplementary Document
2011-11-08
Supplementary Document
2011-11-08
Supporting Statement A
2011-11-08
IC Document Collections
ICR Details
0915-0172 201111-0915-003
Historical Active 200812-0915-001
HHS/HSA
Maternal and Child Health Services Block Grant Report
Revision of a currently approved collection   No
Regular
Approved with change 01/20/2012
Retrieve Notice of Action (NOA) 11/10/2011
  Inventory as of this Action Requested Previously Approved
01/31/2015 36 Months From Approved 03/31/2012
59 0 59
14,514 0 18,064
0 0 0

The MCH Block Grant is a formula grant under which funds are awarded to all 59 States and jurisdictions upon their submission of an acceptable plan to meet the health services needs of the target populations of mothers, infants, children, and children with special health care needs. The data collected from grantees are necessary to manage and monitor the use of grant funds.

PL: Pub.L. 101 - 239 501 Name of Law: Social Security Act of 1935
  
None

Not associated with rulemaking

  76 FR 42717 07/19/2011
76 FR 67198 10/31/2011
Yes

1
IC Title Form No. Form Name
Maternal and Child Health Services Block Grant Report 1 MCHB Block Grant Guidance for Application/Annual Report

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 59 59 0 0 0 0
Annual Time Burden (Hours) 14,514 18,064 0 0 -3,550 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$795,904
No
No
No
No
No
Uncollected
Afabwaje Jatau 301 443-1435 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/10/2011


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