Information Collection

Tribal MIECHV Community Needs & Readiness Assessment Guidance

IC 259632 under ICR 202601-0970-010 · OMB 0970-0611.

Documents and Forms

Document Name Document Type
FINAL Tribal MIECHV CNRA Guidance-Clean.docx Instruction
FINAL Tribal MIECHV CNRA Guidance-Clean.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tribal MIECHV Community Needs & Readiness Assessment Guidance	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FINAL Tribal MIECHV CNRA Guidance-Clean.docx		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: 27	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9	-18	27
Annual IC Time Burden (Hours)	4,050	-8,100	12,150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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