Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey

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

OMB: 0970-0401

IC ID: 229920

Information Collection (IC) Details

View Information Collection (IC)

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) TA Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey DOHVE 2 Satisfaction Survey 1.30.18_mj_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

150 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Submission Template - DOHVE 2.0 TA Feedback Fast Track Generic - Submission Template_TA Satisfaction. 01-30-18. doc (2).doc 01/31/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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