Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Administrator or Hospital Executive Removed 0 0 0 Other-instrument
Bachelors Removed 0 0 0 Other-instrument
Dental Professional Removed 0 0 0 Other-instrument
Dentist Removed 0 0 0 Other-instrument
Doctorate Removed 0 0 0 Other-instrument
Emergency Medical Technician Removed 0 0 0 Other-instrument
Focus Groups- Health and Health Care New 15 30 0 Other-Focus Group
Follow-up Survey -Community Health workers New 12 2 0 Other-forms
Follow-up Survey -Health and Healthcare Professionals New 4208 701 0 Other-forms
General Healthcare Worker Removed 0 0 0 Other-instrument
Key Informant interview New 13 13 0 Other-interview
Key Informant interview-Community Health Workers New 25 25 0 Other-interview
Lawyer Removed 0 0 0 Other-instrument
Masters Removed 0 0 0 Other-instrument
Mental Health Professional Removed 0 0 0 Other-instrument
Nurse Removed 0 0 0 Other-instrument
Pharmacist, RPH Removed 0 0 0 Other-instrument
Physician Removed 0 0 0 Other-form
Other-form
Physician Assistant Removed 0 0 0 Other-instrument
Policymaker or Public Official Removed 0 0 0 Other-instrument
Psycologist/Psychiatrist Removed 0 0 0 Other-instrument
Social Worker Removed 0 0 0 Other-instrument
Student Removed 0 0 0 Other-instrument
TCH Course/Unit Evaluation Form New 9460 788 0 Other-Course
TCH Registration Form New 9460 473 0 Other-form
Teacher Removed 0 0 0 Other-instrument
other Removed 0 0 0 Other-instrument
public Health Removed 0 0 0 Other-instrument
Total burden requested under this ICR: 23193 2032 0  
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