Tribal MIECHV Quarterly Performance Report

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: 260666

Documents and Forms
Information Collection (IC) Details

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Tribal MIECHV Quarterly Performance Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction QPR Tribal MIECHV Quarterly Performance Report THV QPR Form 2023_FINAL 04.10.2023.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

55 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 220 0 0 0 0 220
Annual IC Time Burden (Hours) 550 0 0 0 0 550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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