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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Tribal Home Visiting Continuous Quality Improvement Collaboratives
Agency IC Tracking Number:
ECD
IC Status:
New
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-PDSA Journey Tool
THV PDSA Journey Tool.docx
Yes
Yes
Fillable Fileable
Other-CQIC FoM Quarterly Reporting Template
THV CQIC FoM Quarterly Reporting Template - CLEAN.docx
Yes
Yes
Fillable Fileable
Other-CQIC Survey
THV CQIC FoM Survey Reporting Template - CLEAN.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:
246
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
1,230
0
1,230
0
0
0
Annual IC Time Burden (Hours)
726
0
726
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA Prog Supp GenIC - Tribal Home Visiting Continuous Quality Improvement Collaboratives
Generics Supporting Statement A Tribal MIECHV CQIC_FNL 4.28.26.docx
04/28/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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