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Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Program Training and Technical Assistance Immediate Feedback Form
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 269309
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202409-0970-012
IC 269309
( )
Documents and Forms
Document Name
Document Type
TMIECHV Program Training and TA Immediate Feedback Form Gen. 7.10.24.docx
Other-Survey
TMIECHV Program Training and TA Immediate Feedback Form Gen. 7.10.24.docx
Other-Survey
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx
FastTrack GenIC - TMIECHV Program T/TA Immediate Feedback Form
IC Document
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx
FastTrack GenIC - TMIECHV Program T/TA Immediate Feedback Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Program Training and Technical Assistance Immediate Feedback Form
Agency IC Tracking Number:
ECD
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
TMIECHV Program Training and TA Immediate Feedback Form Gen. 7.10.24.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:
124
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
75 %
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
2,976
0
0
0
0
2,976
Annual IC Time Burden (Hours)
99
0
0
0
0
99
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
FastTrack GenIC - TMIECHV Program T/TA Immediate Feedback Form
Fast Track Generic-Submission TMIECHV Program Training and TA Immediate Feedbac. 7-11-24_fnl.docx
07/11/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.