Tribal MIECHV Demographic & Service Utilization Data Report (Families)

Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports

OMB: 0970-0614

IC ID: 260664

Information Collection (IC) Details

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Tribal MIECHV Demographic & Service Utilization Data Report (Families)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DSUR Tribal MIECHV Demographic & Service Utilization Data Report THV DSUR Form 2023_FINAL CLEAN 7.29.24.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,688 0
   
Individuals or Households
 
   100 %

  Approved 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 1,688 0 0 0 0 1,688
Annual IC Time Burden (Hours) 389 0 0 0 0 389
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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