Information Collection

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency

IC 254676 under ICR 202207-0906-001 · OMB 0906-0071.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency	Form and Instruction
1 Community Interview Protocol Attachment A_Community Interview Protocol_06.23.2022.docx	Form and Instruction
2 Family Focus Group Guide Attachment B_Family Focus Group Guide_06.23.2022.docx	Form
3 Community and Home Visitor Survey Instrument Attachment C_Community and Home Visitor Survey Instrument_06.23.2022.docx	Form
4 Program Data Collection Activity Attachment D_Program Data Collection Activity_06.23.2022.docx	Form
5 Community Focus Group Guide Attachment E_Community Focus Group Guide_06.23.2022.docx	Form

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