Information Collection

Tribal Home Visiting Continuous Quality Improvement Collaboratives

IC 254081 under ICR 202206-0970-010 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Post collab PDSA PT template_for OMB.xlsx	Other-Template
Generics Supporting Statement A - Tribal CQIC_final clean.docx SSA Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives	IC Document
Generics Supporting Statement B - Tribal CQIC _final clean.docx SSB Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives	IC Document

IC Title:

Tribal Home Visiting Continuous Quality Improvement Collaboratives

Agency IC Tracking Number:

OCC

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-Template			Post collab PDSA PT template_for OMB.xlsx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	46	46
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives	Generics Supporting Statement A - Tribal CQIC_final clean.docx	06/07/2022
SSB Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives	Generics Supporting Statement B - Tribal CQIC _final clean.docx	06/07/2022

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