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Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center Satisfaction Surveys
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
OMB: 0906-0084
IC ID: 264360
OMB.report
HHS/HRSA
OMB 0906-0084
ICR 202406-0906-005
IC 264360
( )
Documents and Forms
Document Name
Document Type
Form 1
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center Satisfaction Surveys
Form
Form 1
Maternal, Infant, and Early Childhood Home Visiting Innovation Technical Assistant Center Satisfaction Surveys
Form
1 Attachment A_Individualized Targeted TA Check in
Attachment A_Individualized Targeted TA Check in.docx
Form
2 Attachment B_Individualized Targeted TA Closeout
Attachment B_Individualized Targeted TA Closeout.docx
Form
3 Attachment C_Project Officer Survey
Attachment C_Project Officer Survey.docx
Form
4 Attachment D_Webinar Survey
Attachment D_Webinar Survey.docx
Form
5 Attachment E_Community of Practice Survey
Attachment E_Community of Practice Survey.docx
Form
6 Attachment F_Leadership Academy Session Survey
Attachment F_Leadership Academy Session Survey.docx
Form
7 Attachment G_Leadership Academy Completion Survey
Attachment G_Leadership Academy Completion Survey.docx
Form
8 Attachment H_Quarterly Overall TA Survey
Attachment H_Quarterly Overall TA Survey.docx
Form
9 Attachment I_CQI Practicum Check in Survey
Attachment I_CQI Practicum Check in Survey.docx
Form
10 CQI Practicum Completion Survey
Attachment J_CQI Practicum Completion Survey.docx
Form
Supporting Statement DHVECS MIECHV TARC Satisfaction Surveys.docx
Original Generic IC request
IC Document
Information Collection (IC) Details
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