5. MUSE Rapid Reflect Home Visitor 7.25.18 CLEAN

Multi-Site Implementation Evaluation of Tribal Home Visiting

OMB: 0970-0521

IC ID: 232420

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

5. MUSE Rapid Reflect Home Visitor 7.25.18 CLEAN
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire 5. MUSE Rapid Reflect Home Visitor FINAL_1.17.2019.pdf No   Paper Only

Community and Social Services Social Services

 

47 0
   
Individuals or Households
 
   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 3,102 0 0 0 0 3,102
Annual IC Time Burden (Hours) 620 0 0 0 0 620
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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