Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline Survey Unchanged 1900 1425 0 Other-Survey
Other-Survey
Other-Survey
Design Survey Discussion Guide for use with Researchers, Policy Experts, and Macro-Level Coordinators Unchanged 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 Unchanged 40 80 0 Other-Discussion Guide
Discussion Guide for Use with Program Staff Unchanged 40 80 0 Other-Discussion Guide
Discussion Guide for Use with School Administrators Unchanged 70 70 0 Other-Discussion Guide
Discussion Guide for use with Macro-Level Coordinators Unchanged 10 10 0 Other-Disscussion Guide
Implementation Survey Interview Topic Guide (Provider-level Respondents) New 6 6 0 Other-Topic Guide
Implementation Survey Interview Topic Guide (State-level Respondents) New 6 6 0 Other-Topic Guide
Implementation site data collection Unchanged 1400 11200 0 Other-Data Collection
New Instrument #10: Program Attendance Data Collection Protocol Unchanged 360 90 0 Other-Protocol
New Instrument #1: Entry Survey (CPREP Participants) Unchanged 5891 491 0 Other-Survey
New Instrument #2: Exit Survey (CPREP Participants) Unchanged 7654 1276 0 Other-Survey
New Instrument #3: Performance Reporting System Data Entry Form Unchanged 24 469 0 Other-PRS Form
New Instrument #4: Implementation Site Data Collection Protocol Unchanged 200 1200 0 Other-Protocol
New Instrument #7: Master List of Topics for Staff Interviews Unchanged 106 107 0 Other-Interviews
New Instrument #8: Staff Survey Unchanged 66 33 0 Other-Survey
New Instrument #9: Focus Group Discussion Guide Unchanged 107 160 0 Other-Focus Group
New Instruments 5, 6, 12: First Follow-Up Surveys Unchanged 1600 1200 0 Other-Survey
Other-Survey
Other-Survey
New Instruments 5,6,12: Second Follow-Up Survey Unchanged 750 563 0 Other-Survey
Other-Survey
Other-Survey
Participant entry survey Unchanged 35103 2925 0 Other-Survey
Participant exit survey Unchanged 44574 7429 0 Other-Survey
Performance Reporting System Data Entry Form Unchanged 65 1560 0 Other-PRS Entry Form
Sub-awardee data collection and reporting Unchanged 350 6533 0 Other-Data Reporting
Total burden requested under this ICR: 100352 36943 1124  
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