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Federal forms, ICRs, and supporting documents

Information Collection

Administrative Burden Assessment for State and Jurisdiction MIECHV Funding Recipients

IC 268192 under ICR 202405-0906-005 · OMB 0906-0094.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Administrative Burden Assessment for State and Jurisdiction MIECHV Funding Recipients
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Administrative Burden Assessment for State and Jurisdiction MIECHV Funding Recipients Appendix D. Administrative Burden Assessment for State and Jurisdiction MIECHV Funding Recipients.docx Yes Yes Fillable Fileable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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
Annual Number of Responses for this IC 56 0 56 0 0 0
Annual IC Time Burden (Hours) 784 0 784 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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