Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cost New 168 42 0 Other-survey
Dosage New 168 286 0 Other-survey
Fidelity New 168 286 0 Other-survey
Grantee program staff New 168 42 0 Other-SURVEY
Health-care linkages New 168 42 0 Other-survey
Number of Facilitators New 168 42 0 Other-survey
Number of partners New 168 42 0 Other-SURVEY
Participants reach New 168 470 0 Other-survey
Total burden requested under this ICR: 1344 1252 0  
To view an IC, click on IC Title