Information Collection Request

Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home Visiting Guidance

ICR 202108-0970-012 · OMB 0970-0409 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
THV ARS Supporting Statement 2021_8.16.21_Fnl.docx Supporting Statement A Uploaded 2021-08-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
231062 Guidance Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
23 25
575 1,250
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Guidance

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 23 25 0 -2 0 0
Annual Time Burden (Hours) 575 1,250 0 -675 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No