Information Collection

Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Program Training and Technical Assistance Immediate Feedback Form

IC 264661 under ICR 202403-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TMIECHV Program Training and TA Immediate Feedback Form.docx	Other-Feedback Survey
TMIECHV Program Training and TA Immediate Feedback Form.docx	Other-Feedback Survey
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac.ecd1.24.24.docx FastTrack GenIC - Tribal MIECHV Program Training and Technical Assistance Immediate Feedback Form .	IC Document
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac.ecd1.24.24.docx FastTrack GenIC - Tribal MIECHV Program Training and Technical Assistance Immediate Feedback Form .	IC Document

IC Title:

Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Program Training and Technical Assistance Immediate Feedback Form

Agency IC Tracking Number:

ECD

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-Feedback Survey			TMIECHV Program Training and TA Immediate Feedback Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	375	375
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - Tribal MIECHV Program Training and Technical Assistance Immediate Feedback Form .	Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac.ecd1.24.24.docx	01/24/2024

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