Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline Survey Modified 1900 1425 0 Other-Survey
Other-Survey
Other-Survey
Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators Modified 30 30 1124 Other-#1 Interview guide for use with PREP state-level coordinators - Clean version - 3-6-12
Discussion Guide for Use with Program Directors Modified 40 80 0 Other-Discussion Guide
Discussion Guide for Use with Program Staff Modified 40 80 0 Other-Discussion Guide
Discussion Guide for Use with School Administrators Modified 70 70 0 Other-Discussion Guide
Discussion Guide for use with Macro-Level Coordinators Modified 10 10 0 Other-Disscussion Guide
Implementation site data collection Modified 1400 11200 0 Other-Data Collection
New Instrument #10: Program Attendance Data Collection Protocol Modified 360 90 0 Other-Protocol
New Instrument #1: Entry Survey (CPREP Participants) Modified 5891 491 0 Other-Survey
New Instrument #2: Exit Survey (CPREP Participants) Modified 7654 1276 0 Other-Survey
New Instrument #3: Performance Reporting System Data Entry Form Modified 24 469 0 Other-PRS Form
New Instrument #4: Implementation Site Data Collection Protocol Modified 200 1200 0 Other-Protocol
New Instrument #7: Master List of Topics for Staff Interviews Modified 106 107 0 Other-Interviews
New Instrument #8: Staff Survey Modified 66 33 0 Other-Survey
New Instrument #9: Focus Group Discussion Guide Modified 107 160 0 Other-Focus Group
New Instruments 5, 6, 12: First Follow-Up Surveys Modified 1600 1200 0 Other-Survey
Other-Survey
Other-Survey
New Instruments 5,6,12: Second Follow-Up Survey Modified 750 563 0 Other-Survey
Other-Survey
Other-Survey
Participant entry survey Modified 35103 2925 0 Other-Survey
Participant exit survey Modified 44574 7429 0 Other-Survey
Performance Reporting System Data Entry Form Modified 65 1560 0 Other-PRS Entry Form
Sub-awardee data collection and reporting Modified 350 6533 0 Other-Data Reporting
Total burden requested under this ICR: 100340 36931 1124  
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