OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Tribal Home Visiting Continuous Quality Improvement Collaboratives

IC 280092 under ICR 202606-0970-001 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-PDSA Journey Tool
Other-PDSA Journey Tool
Other-CQIC FoM Quarterly Reporting T
Other-CQIC FoM Quarterly Reporting T
Other-CQIC Survey
Other-CQIC Survey
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Tribal Home Visiting Continuous Quality Improvement Collaboratives ECD
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-PDSA Journey Tool THV PDSA Journey Tool.docx Yes Yes Fillable Fileable
Other-CQIC FoM Quarterly Reporting Template THV CQIC FoM Quarterly Reporting Template - CLEAN.docx Yes Yes Fillable Fileable
Other-CQIC Survey THV CQIC FoM Survey Reporting Template - CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

246 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,279 0 49 0 0 1,230
Annual IC Time Burden (Hours) 761 0 35 0 0 726
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives Generics Supporting Statement A Tribal MIECHV CQIC_FNL 4.28.26_CLEAN.docx 06/02/2026
NonSub - Tribal HV CQIC - Survey timepoint updates CQIC Change Request Memo_OMB 0970-0531_2026-06-01_fnl.docx 06/02/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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