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 Modified 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 9
Form and Instruction 10
Form and Instruction 11
Form and Instruction 12
Form and Instruction 13
Form and Instruction 14
Form and Instruction 15
Form and Instruction 16
Form and Instruction 17a
Form and Instruction 17b
Form and Instruction 17c
Form and Instruction 18a
Form and Instruction 18b
Form and Instruction 18c
Total burden requested under this ICR: 5955 1605 0  
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