Information Collection

Instrument 1: Request for LIA Contact Information from MIECHV Leads

IC 243694 under ICR 202009-0970-008 · OMB 0970-0559.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 1_Request for LIA Contact Information from MIECHV Leads.docx	Other-Request for LIA Contact Inform
Instrument 1_Request for LIA Contact Information from MIECHV Leads.docx	Other-Request for LIA Contact Inform

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Request for LIA Contact Information from MIECHV Lead			Instrument 1_Request for LIA Contact Information from MIECHV Leads.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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