Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MCH Jurisdictional Survey Instrument for the Title V MCH Block Grant Program New 5955 1605 0 Form and Instruction 1
Form and Instruction 2
Form and Instruction 3
Form and Instruction 4
Form and Instruction 5
Form and Instruction 6
Form and Instruction 7
Form and Instruction 8
Form and Instruction 1B
Form and Instruction 2B
Form and Instruction 3B
Form and Instruction 3C
Form and Instruction 4B
Form and Instruction 5B
Form and Instruction 8B
Form and Instruction 8C
Total burden requested under this ICR: 5955 1605 0  
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