Information Collection

Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement

IC 281576 under ICR 202607-0970-010 · OMB 0970-0558.

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_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
TMIECHV_Nutrition_Monitoring GenIC_Submission Form_mj_clean.docx Monitoring GenIC - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement	IC Document
NOA_GenICMonitoring_ECD - Tribal MIECHV Nutrition Supp_0970-0558_6.25.26.pdf NOA - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement	IC Document
NOA_GenICMonitoring_ECD - Tribal MIECHV Nutrition Supp_0970-0558_6.25.26.pdf NOA - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement	IC Document

IC Title:

Agency IC Tracking Number:

ECD

IC Status: New

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	Program Change Due to Agency Discretion
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		07/20/2026
NOA - Tribal MIECHV Nutrition One-Time Supplemental Funding Monitoring Supplement		07/20/2026

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

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