PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application/Annual Report with Needs Assessment Summary
Modified
59
17464
0
Form and Instruction
1
Title V Maternal and Child Health Services Block Grant to States Program Guidance Forms for the Title V Application/ Annual Report
Total burden requested under this ICR:
59
17464
0
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