Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Regional Meetings Feedback Forms

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
Appendix A - Tribal Regional Overall Meetings Feedback Form.docx Other-Feedback Survey
Appendix A - Tribal Regional Overall Meetings Feedback Form.docx Other-Feedback Survey
Appendix B - Tribal Regional Individual Session Feedback Forms.docx Other-Feedback Survey
Appendix B - Tribal Regional Individual Session Feedback Forms.docx Other-Feedback Survey
Appendix C - Virtual Tribal Regional Overall Meeting Feedback Form.docx Other-Feedback Survey
Appendix C - Virtual Tribal Regional Overall Meeting Feedback Form.docx Other-Feedback Survey
Appendix D - Virtual Tribal Regional Individual Session Feedback Form.docx Other-Feedback Survey
Appendix D - Virtual Tribal Regional Individual Session Feedback Form.docx Other-Feedback Survey
Fast Track Generic-Submission TMIECHV Meeting.ecd.1.24.24.docx FastTrack GenIC - TMIECHV Regional Meetings Feedback Forms IC Document
Fast Track Generic-Submission TMIECHV Meeting.ecd.1.24.24.docx FastTrack GenIC - TMIECHV Regional Meetings Feedback Forms IC Document

Information Collection (IC) Details

IC Title:	Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Regional Meetings Feedback Forms	Agency IC Tracking Number:	ECD

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Feedback Survey	Appendix A - Tribal Regional Overall Meetings Feedback Form.docx	Yes	Yes	Fillable Fileable
Other-Feedback Survey	Appendix B - Tribal Regional Individual Session Feedback Forms.docx	Yes	Yes	Fillable Fileable
Other-Feedback Survey	Appendix C - Virtual Tribal Regional Overall Meeting Feedback Form.docx	Yes	Yes	Fillable Fileable
Other-Feedback Survey	Appendix D - Virtual Tribal Regional Individual Session Feedback Form.docx	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: 960	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FastTrack GenIC - TMIECHV Regional Meetings Feedback Forms	Fast Track Generic-Submission TMIECHV Meeting.ecd.1.24.24.docx	01/24/2024

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