Information Collection

Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement

IC 281169 under ICR 202607-0970-004 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TMIECHV_Nutrition_Monitoring_Instrument.docx	Other-Monitoring Form
TMIECHV_Nutrition_Monitoring GenIC_Submission Form_mj_clean.docx Monitoring GenIC - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement	IC Document

IC Title:

Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement

Agency IC Tracking Number:

ECD

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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-Monitoring 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: 53

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
	Requested	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement		06/23/2026

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

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