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 7303 2014 0 Form and Instruction 1 01_Updated MCH Survey_AS_English Jan 2021.docx
Form and Instruction 2 02_Updated MCH Survey_FSM_English Jan 2021.docx
Form and Instruction 3 03_Updated MCH Survey_Guam_English Jan 2021.docx
Form and Instruction 4 04_Updated MCH Survey_RMI_English Jan 2021.docx
Form and Instruction 5 05_Updated MCH Survey_CNMI_English Jan 2021.docx
Form and Instruction 6 06_Updated MCH Survey_Palau_English Jan 2021.docx
Form and Instruction 7 07_Updated MCH Survey_PR_English Jan 2021.docx
Form and Instruction 8 08_Updated MCH Survey_USVI_English Jan 2021.docx
Form and Instruction 9 09_Updated MCH Survey_American Samoa_Samoan Jan 2021.docx
Form and Instruction 10 10_Updated MCH Survey_FSM_Chuukese Jan 2021.docx
Form and Instruction 11 11_Updated MCH Survey_Guam_Chuukese Jan 2021.docx
Form and Instruction 12 12_Updated MCH Survey_Guam_Tagalog Jan 2021.docx
Form and Instruction 13 13_Updated MCH Survey_Palau_Palauan Jan 2021.docx
Form and Instruction 14 14_Updated MCH Survey_Palau_Tagalog Jan 2021.docx
Form and Instruction 15 15_Updated MCH Survey_PR_Spanish Jan 2021.docx
Form and Instruction 16 16_Updated MCH Survey_USVI_Spanish Jan 2021.docx
Form and Instruction 17c 17c_Updated MCH Survey_RMI_Marshallese Jan 2021.docx
Form and Instruction 18c 18c_MCH Survey_FSM_Pohnpeian
Total burden requested under this ICR: 7303 2014 0  
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