Information Collection

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

IC 269309 under ICR 202409-0970-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Gen. 7.10.24.docx	Other-Survey
TMIECHV Program Training and TA Immediate Feedback Form Gen. 7.10.24.docx	Other-Survey
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx FastTrack GenIC - TMIECHV Program T/TA Immediate Feedback Form	IC Document
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx FastTrack GenIC - TMIECHV Program T/TA 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-Survey			TMIECHV Program Training and TA Immediate Feedback Form Gen. 7.10.24.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: 124

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,976	2,976
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC - TMIECHV Program T/TA Immediate Feedback Form	Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx	07/11/2024

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