Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1 - Screening questions for parenting intervention (Applicant) New 1333 111 0 Other-Screening Questions
1 - Screening questions for parenting intervention (Staff) New 1332 111 0 Other-Screening Questions
10 & 11 - 6 month follow-up surveys New 810 540 0 Other-Follow up Survey
Other-Follow up Survey
12 & 13 - Staff and management semi-structured interviews New 160 240 0 Other-Semi-structured interviews
Other-Semi-structured interviews
14 & 15 - Staff surveys New 80 53 0 Other-Survey
Other-Survey
16 - Participant focus groups New 53 106 0 Other-Focus Group Protocol
17 - Mother Focus Groups New 27 27 0 Other-Focus Group Protocol
18 & 19 - Mobile device surveys New 2250 263 0 Other-Survey
Other-Survey
2 - Screening questions for employment intervention (Applicant) New 300 75 0 Other-Screening Questions
2 - Screening questions for employment intervention (Staff) New 300 75 0 Other-Screening Questions
20 - Post-session debrief for sites testing parenting intervention New 1248 104 0 Other-Debrief
3 - Consent Materials for Parents of Fathers under 18 (Parent of Applicant) New 167 28 0 Other-Consent Materials
3 - Consent Materials for Parents of Fathers under 18 (Staff) New 168 28 0 Other-Consent Materials
4 - B3-specific eligibility data (Applicant) New 2133 36 0 Other-Eligibility Data
4 - B3-specific eligibility data (Staff) New 2136 36 0 Other-Eligibility Data
5 - B3-specific enrollment data (Applicant) New 900 138 0 Other-Enrollment data
5 - B3-specific enrollment data (Staff) New 912 138 0 Other-Enrollment data
6 - B3 tracking of attendance in services for program group members New 8712 70 0 Other-Attendance tracker
7 - Additional nFORM burden for non-Grantee site (Applicant) New 150 38 0 Other-nFORM
7 - Additional nFORM burden for non-Grantee site (Staff) New 7876 270 0 Other-nFORM
8 & 9 - Baseline surveys New 947 608 0 Other-Baseline Survey
Other-Baseline Survey
Total burden requested under this ICR: 31994 3095 0  
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