Information Collection

MCH Nutrition Training Needs Assessment

IC 250357 under ICR 202401-0915-001 · OMB 0915-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 MCH Nutrition Training Needs Assessment	Form and Instruction
Form 1 MCH Nutrition Training Needs Assessment	Form and Instruction
1 Survey 2022 MCH Nutrition Training Needs Assessment_10.2 FORM_Survey 2022 MCH Nutrition Training Needs Assessment_10.29.21.docx	Form and Instruction
1 Survey 2022 MCH Nutrition Training Needs Assessment_10.2 FORM_Survey 2022 MCH Nutrition Training Needs Assessment_10.29.21.docx	Form and Instruction
TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx	IC Document
TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx	IC Document

IC Title:

MCH Nutrition Training Needs Assessment

Agency IC Tracking Number:

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
Form and Instruction	1	Survey 2022 MCH Nutrition Training Needs Assessment_10.29.21.docx	FORM_Survey 2022 MCH Nutrition Training Needs Assessment_10.29.21.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx	TNA for MCH nutrition Supporting Statement_2022_10.29.21.docx	11/16/2021

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