Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 233024

Documents and Forms
Document Name
Document Type
Other-Feedback Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) AGM 2019 – Peer Sharing Feedback Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Feedback Form Final - Peer Sharing Session Planning Feedback Form_rev_8.31.18.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

350 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 350 0 0 0 0 350
Annual IC Time Burden (Hours) 29 0 0 0 0 29
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Generic - Submission Template 2019 AGM Peer Sharing Session Survey_CLEAN Fast Track Generic - Submission Template 2019 AGM Peer Sharing Session Survey_CLEAN.doc 09/17/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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