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Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment
Formative Data Collections for ACF Program Support
OMB: 0970-0531
IC ID: 254540
OMB.report
HHS/ACF
OMB 0970-0531
ICR 202405-0970-006
IC 254540
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:
2024-10-04 - No material or nonsubstantive change to a currently approved collection
2024-09-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Instrument 1-Self-Reflection Data Collection Tool 02-19-21.docx
Other-Survey
Instrument 1-Self-Reflection Data Collection Tool 02-19-21.docx
Other-Survey
Formative Data Collections for Program Support SSA 02-19-21_final.docx
SSA - TMIECHV Grantee TA Needs Assess GenIC
IC Document
Formative Data Collections for Program Support SSA 02-19-21_final.docx
SSA - TMIECHV Grantee TA Needs Assess GenIC
IC Document
NOA_TMIECHV TA Needs Assessment_GenIC Program Support_0970-0531_2.26.21.pdf
NOA - TMIECHV Grantee TA Needs Assess GenIC
IC Document
NOA_TMIECHV TA Needs Assessment_GenIC Program Support_0970-0531_2.26.21.pdf
NOA - TMIECHV Grantee TA Needs Assess GenIC
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Grantee Technical Assistance (TA) Needs Assessment
Agency IC Tracking Number:
OCC
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Instrument 1-Self-Reflection Data Collection Tool 02-19-21.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
38
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
38
0
0
0
0
38
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - TMIECHV Grantee TA Needs Assess GenIC
Formative Data Collections for Program Support SSA 02-19-21_final.docx
07/08/2022
NOA - TMIECHV Grantee TA Needs Assess GenIC
NOA_TMIECHV TA Needs Assessment_GenIC Program Support_0970-0531_2.26.21.pdf
07/08/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.