Feedback on Mother and Infant Home Visiting Program Evaluation (MIHOPE) Long-term Follow-up study design options

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
MIHOPE-LT Stakeholder Discussion Questions 17feb17 revised per OMB feedb....docx Other-Discussion Questions
Fast Track Generic - Submission Template - MIHOPE-LT 15feb17.doc MIHOPE-LT - Fast Track Generic - Submission Template IC Document

Information Collection (IC) Details

IC Title:	Feedback on Mother and Infant Home Visiting Program Evaluation (MIHOPE) Long-term Follow-up study design options	Agency IC Tracking Number:	MIHOPE LT

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Questions			MIHOPE-LT Stakeholder Discussion Questions 17feb17 revised per OMB feedb....docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
MIHOPE-LT - Fast Track Generic - Submission Template	Fast Track Generic - Submission Template - MIHOPE-LT 15feb17.doc	02/15/2017

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