(MIECHV MODS) Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing – Customer Satisfaction Survey Forms

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0915-0212

IC ID: 240006

Information Collection (IC) Details

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(MIECHV MODS) Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing – Customer Satisfaction Survey Forms
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form A Attachment A - Data Science Training Survey.docx Attachment A - Data Science Training Survey.docx Yes Yes Fillable Fileable
Form B Attachment B - Resource Guide Survey.docx Attachment B - Resource Guide Survey.docx Yes Yes Fillable Fileable
Form C Attachment C - List of Analytic Experts Survey.docx Attachment C - List of Analytic Experts Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

18 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 216 0 216 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS A MODS Customer Satisfaction Surveys - Supporting Statement.docx 02/19/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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