Instrument #7: HM Study MIS

Parents and Children Together (PACT) Evaluation

OMB: 0970-0403

IC ID: 206002

Documents and Forms
Information Collection (IC) Details

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Instrument #7: HM Study MIS
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-MIS PACT Instrument (7) - PACT Study MIS for Health Marraiage Grantees.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

30 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 102,000 0 102,000 0 0 0
Annual IC Time Burden (Hours) 3,400 0 3,400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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