Information Collection

National Center on Early Childhood Health and Wellness (NCECHW) Infoline Feedback Form

IC 237230 under ICR 202105-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Infoline-NCECHW-Feedback-Form-8-1-19.docx	Other-
Infoline-NCECHW-Feedback-Form-8-1-19.docx	Other-
Infoline Fast Track OMB Approval Request_8-1-19.docx Fast Track Submission Form - NCECHW Infoline Feedback Form	IC Document
Infoline Fast Track OMB Approval Request_8-1-19.docx Fast Track Submission Form - NCECHW Infoline Feedback Form	IC Document

IC Title:

National Center on Early Childhood Health and Wellness (NCECHW) Infoline Feedback Form

Agency IC Tracking Number:

IC Status: Unchanged

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-			Infoline-NCECHW-Feedback-Form-8-1-19.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: 360

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	360	360
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Submission Form - NCECHW Infoline Feedback Form	Infoline Fast Track OMB Approval Request_8-1-19.docx	08/02/2019

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