Annual Report to the Secretary Guidance

Tribal Maternal, Infant, and Early Childhood Home Visiting Program Guidance for Submitting Reports to the Secretary

Documents and Forms

Document Name Document Type
Tribal MIECHV Program Guidance for Submitting an Annual to the Secretary_w PRA language 6.4.21.docx Instruction
Tribal MIECHV Program Guidance for Submitting an Annual to the Secretary_w PRA language 6.4.21.docx Instruction

Information Collection (IC) Details

IC Title:	Annual Report to the Secretary Guidance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Tribal MIECHV Program Guidance for Submitting an Annual to the Secretary_w PRA language 6.4.21.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	7	23
Annual IC Time Burden (Hours)	750	175	575
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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