Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Community Action Network (CAN) Survey New 225 169 0 Form and Instruction 3
Healthy Start Focus Group Protocol New 180 180 0 Instruction
Healthy Start Site Visit Protocol New 15 90 0 Instruction
National Healthy Start Program Survey (NHSPS) Modified 88 176 0 Form and Instruction 2
The Preconception, Pregnancy and Parenting (3P's) Information Form New 40675 20338 0 Form 1
Total burden requested under this ICR: 41183 20953 0  
To view an IC, click on IC Title