Information Collection

Hv-bat

IC 258858 under ICR 202303-0906-001 · OMB 0906-0025.

Documents and Forms

Document Name Document Type
Form 1 HV-BAT Form and Instruction
1 Maternal, Infant and Early Childhood Home Visiting Progr Appendix A - HV-BAT.xlsx Form and Instruction
1 Maternal, Infant and Early Childhood Home Visiting Progr Appendix A - HV-BAT.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HV-BAT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Maternal, Infant and Early Childhood Home Visiting Program Home Visiting Budget Assistance Tool	Appendix A - HV-BAT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	247	247
Annual IC Time Burden (Hours)	9,880	9,880
Annual IC Cost Burden (Dollars)	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.