Information Collection

The AIM Biannual Survey Report

IC 267119 under ICR 202501-0906-001 · OMB 0906-0091.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 The AIM Biannual Survey Report	Form and Instruction
Form 1 AIM Biannual Report The AIM Biannual Survey Report	Form and Instruction
Form 1_Revised Clean MCHB-AIM Biannual Survey The AIM Biannual Survey Report	Form and Instruction
Form 1_Revised TC MCHB-AIM Biannual Survey_Track Changes The AIM Biannual Survey Report	Form and Instruction
1 AIM Biannual Report REVISED-Attachment A-AIM Biannual Report-Proposed Final-Clean.docx	Form and Instruction
1 AIM Biannual Report REVISED-Attachment A-AIM Biannual Report-Proposed Final-Clean.docx	Form and Instruction
1_Revised Clean MCHB-AIM Biannual Survey MCHB-AIM Biannual Survey-0906-009-Dec 2024_Clean.docx	Form and Instruction
1_Revised Clean MCHB-AIM Biannual Survey MCHB-AIM Biannual Survey-0906-009-Dec 2024_Clean.docx	Form and Instruction
1_Revised TC MCHB-AIM Biannual Survey_Track Changes MCHB-AIM Biannual Survey-0906-009-Dec 2024_Tracked Changes.docx	Form and Instruction
1_Revised TC MCHB-AIM Biannual Survey_Track Changes MCHB-AIM Biannual Survey-0906-009-Dec 2024_Tracked Changes.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Yes	Yes	Fillable Fileable
Form and Instruction	1_Revised Clean	Yes	Yes	Fillable Fileable
Form and Instruction	1_Revised TC	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	104	104
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	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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