Information Collection

Guidance for Submitting Annual Reports to the Secretary

IC 231062 under ICR 202408-0970-012 · OMB 0970-0409.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Tribal Maternal, Infant, and Early Childhood Home Visiting Program Guidance for Submitting Annual Reports.docx	Instruction
Tribal Maternal, Infant, and Early Childhood Home Visiting Program Guidance for Submitting Annual Reports.docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Instruction					Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	53	23	30
Annual IC Time Burden (Hours)	1,325	575	750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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