Annual Report

Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home Visiting Guidance

OMB: 0970-0409

IC ID: 202863

Information Collection (IC) Details

View Information Collection (IC)

Annual Report
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 2015-Tribal MIECHV Guidance for Submitting an Annual or Final Report to the Secretary FINAL.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

25 0
   
State, Local, and Tribal Governments
 
   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 25 0 0 0 0 25
Annual IC Time Burden (Hours) 1,250 0 0 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Tribal MIECHV Guidance for Submitting an Annual Report to the Secretary Tribal MIECHV Guidance for Submitting an Annual Report to the Secretary OMB 0970-0409.pdf 05/27/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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