2024 Maternal, Infant, and Early Childhood Home Visiting Program All Grantee Meeting Evaluation Surveys

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0906-0084

IC ID: 264349

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2024 Maternal, Infant, and Early Childhood Home Visiting Program All Grantee Meeting Evaluation Surveys
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Conference Evaluation Survey Instrument A_Conference Evaluation Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,960 0
   
Individuals or Households
 
   100 %

  Requested 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 1,960 0 0 0 0 1,960
Annual IC Time Burden (Hours) 102 0 0 0 0 102
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Original Generic Request Fast track memo.ITAC Satisfaction Surveys.docx 01/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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