Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MUH Operator Baseline Survey (LA County) Modified 130 163 0 Form none MUH Operator Baseline Survey
MUH Operator Baseline Survey - MN, ME, FL Modified 6 8 0 Form none MUH Operator Baseline Survey - MN, ME, FL
MUH Operator Post-intervention Survey - LA county Modified 130 163 0 Form none 7A - MUH operator post-intervention survey - LA county
MUH Resident Air Quality Monitoring Modified 200 300 0 Instruction
Instruction
MUH Resident Baseline Survey - Children's Module LA Modified 250 63 0 Form none MUH Resident Baseline - Children's Module section G
Form none MUH Resident Baseline - Children's Module section G Spanish
MUH Resident Baseline Survey - Core LA Modified 500 375 0 Form none MUH Resident Baseline - Core - sections A-F
Form none MUH Resident Baseline - Core - sections A-F Spanish
MUH Resident Baseline Survey - screening LA Modified 833 69 0 Form none MUH Resident Survey - LA (English)
Form none MUH Resident Survey - LA (Spanish)
MUH Resident Post-intervention Children's Module - LA Modified 250 63 0 Form none Resident Survey Post-int- children's module section G
Form none Resident Survey Post-int - children's module section G Spanish
MUH Resident Post-intervention Survey - Core LA Modified 500 375 0 Form none Resident Surevy Post-intervention Spanish
Form none Resident Survey - Post-intervention
MUH Resident Saliva Collection Modified 1000 167 0 Form and Instruction none Saliva Collection
MUH Saliva Collection - children Modified 500 83 0 Instruction
MUH operators post-intervention survey - MN, ME, FL Modified 6 8 0 Form none MUH Operator Post Intervention Survey - LA, ME, MN, FL
Phone script for Recruitment of MUH operators in LA Modified 173 14 0 Form none Recruitment Script LA
Phone script for recruitment of MUH operators - MN, ME, FL Modified 6 1 0 Form and Instruction none Recruitment phone script MN, ME, FL
Resident Focus Group Guide - Outcome Oriented New 30 30 0 Instruction
Resident Focus Group Guide - Process Oriented New 30 30 0 Form none Focus Group Guide
Resident Focus Group Screening Modified 60 5 0 Form none Focus Group Screener
Resident Pre-Focus Group Survey New 60 5 0 Form none Resident Pre-Focus Group Survey
Total burden requested under this ICR: 4664 1922 0  
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