Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cost Data Collection, Front Line Staff Activity Log Unchanged 336 420 0 Other-ataff activity log
Cost Data Collection, Program Costs Questionnaire Unchanged 28 336 0 Other-questionnaire
Follow Up Surveys, 15 and 30 months Modified 2460 1435 0 Other-survey
Other-survey
Other-Post Card
Other-Letters & New Reminders to Survey Samples Members
Protocols for Focus Groups Unchanged 8 8 0 Other-focus group protocols
Resource Room Sign-in Sheet Unchanged 10000 83 0 Other-resource room sign-in sheet
Veterans Focus Groups Unchanged 56 56 0 Other-focus group participant consent form
Other-case file review
Veterans' Supplemental Study Staff Interviews Unchanged 271 243 0 Other-state administrator protocol
Other-AJC Staff Protocol
Other-Vets Staff Protocol
Total burden requested under this ICR: 13159 2581 0  
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