Progress Report Guidance

Maternal, Infant, and Early Childhood Home Visiting Program FY 2012 Competitive Noncompeting Continuation Progress Reports (D89)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0356 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Progress Report Guidance Form and Instruction
1 Competitive NCC Progress Report Competitive D89 FY 13 NCC Progress Report Instructions_OMB Exp 9 30 2015_DGIS Review_rev 5.28.13.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Progress Report Guidance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	1	Competitive NCC Progress Report	Competitive D89 FY 13 NCC Progress Report Instructions_OMB Exp 9 30 2015_DGIS Review_rev 5.28.13.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	1,452	1,452
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.