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Federal forms, ICRs, and supporting documents

Information Collection

Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Technical Assistance Evaluation (TA) Survey and Immediate Feedback Tool

IC 245928 under ICR 202105-0970-001 · OMB 0970-0401.

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

View Information Collection (IC)

Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Technical Assistance Evaluation (TA) Survey and Immediate Feedback Tool OCC
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Feedback Form Appendix A-PATH Technical Assistance Immediate Feedback Form.docx Yes Yes Fillable Fileable
Other-Feedback Form Appendix B-PATH Technical Assistance Evaluation Feedback Form.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

42 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 42 0 0 0 0 42
Annual IC Time Burden (Hours) 31 0 0 0 0 31
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FastTrack GenIC Submission Form - MIECHV TA Survey and Immediate Feedback Tool Fast Track Generic PATH Immediate TA Evaluation Feedback Forms 02-19-2021.docx 02/19/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.