Information Collection

Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Regional Meetings Feedback Forms

IC 276656 under ICR 202509-0970-013 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A - TMIECHV Regional Meeting Overall Feedback Form 07.24.2025 clean.docx	Other-Appendix A - TMIECHV Regional
Appendix B - Tribal Regional Individual Session Feedback Forms.docx	Other-Appendix B - Tribal Regional I
Appendix C - Virtual Tribal Regional Overall Meeting Feedback Form.docx	Other-Appendix C - Virtual Tribal Re
Appendix D - Virtual Tribal Regional Individual Session Feedback Form.docx	Other-Appendix D - Virtual Tribal Re
Fast Track Generic-Submission TMIECHV Meeting.ecd.1.24.24.docx FastTrack GenIC Submission Form - TMIECHV Regional Meetings Feedback Forms	IC Document
NOA_TMIECHV Reg Mtgs_FastTrack GenIC_0970-0401_1.26.24.pdf NOA - TMIECHV Regional Meetings Feedback Forms	IC Document
NonSub Change Request Tribal MIECHV Immediate Feedback Meeting Form. 7.24.25.docx NonSub Chg - TMIECHV Regional Meeting Overall Feedback Form	IC Document

IC Title:

Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Regional Meetings Feedback Forms

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix A - TMIECHV Regional Meeting Overall Feedback Form	Yes	Yes	Fillable Fileable
Other-Appendix B - Tribal Regional Individual Session Feedback Forms	Yes	Yes	Fillable Fileable
Other-Appendix C - Virtual Tribal Regional Overall Meeting Feedback Form	Yes	Yes	Fillable Fileable
Other-Appendix D - Virtual Tribal Regional Individual Session Feedback Form	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: 960

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: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack GenIC Submission Form - TMIECHV Regional Meetings Feedback Forms		07/23/2025
NOA - TMIECHV Regional Meetings Feedback Forms		07/23/2025
NonSub Chg - TMIECHV Regional Meeting Overall Feedback Form		07/24/2025

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

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