PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Co-borrower consent
Modified
1800
150
0
Form
N/A
Co-borrower consent form
Consent Agreement & Baseline survey
Removed
0
0
0
Other-Telephone Script for Informed Consent
Other-Baseline Survey
Counseling agencies' one time activities
Removed
0
0
0
Other-interview guide
Counseling agencies' study related activities
Removed
0
0
0
Form
N/A
Service Tracking Data Collection
Eligibility Assessment
Removed
0
0
0
Other-telephone script
Focus Group Recruitment Calls
New
720
60
0
Other-eligibility assessment
Focus groups
New
144
288
0
Other-Guide - In person Completer Non-Completer
Other-Guide - Remote Completer Non-Completer
Other-Guide - SAQ Remote Non-Completer
Other-Guide - SAQ Remote Completers
Other-Guide - In Person Non-Completers
Other-Guide - In Person Completers
Follow up Interviews
Removed
0
0
0
Other-telephone interview script
Intake: Lender staff (concierge teams)
Removed
0
0
0
Other-telephone script
Other-telephone script
Other-telephone script
Intake: Outreach to potential study participants
Removed
0
0
0
Form
N/A
Lender Intake Form
Interim Survey
New
6000
3500
0
Other-Interim Survey
Other-survey
Interviews: Lender staff
Removed
0
0
0
Other-Lender Interview Guide
Loan origination and performance data
Modified
6
6
0
Form
N/A
Loan Information and Performance Data
Recruitment Outcome Report
Removed
0
0
0
Other-recruitment outcome report
Service tracking information
New
3450
575
0
Other-Service Tracking
Study Participant Tracking Letter
Modified
18000
1500
0
Form and Instruction
N/A
Study Participant Tracking Letter
Total burden requested under this ICR:
30120
6079
0
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