Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Community Action Network (CAN) Survey Modified 225 169 0 Form and Instruction F
Healthy Start Focus Group Protocol Modified 180 180 0 Instruction
Healthy Start Site Visit Protocol Modified 15 90 0 Instruction
National Healthy Start Program Survey (NHSPS) Modified 100 200 0 Form and Instruction E
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Form: Demographic Intake Modified 40675 3254 0 Form and Instruction B1
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Form: Pregnancy New 40675 6915 0 Form and Instruction B2
Redesigned Preconception, Pregnancy and Parenting (3P's) Information Forms 3-6 New 20337 20337 0 Form and Instruction B3
Form and Instruction B4
Form and Instruction B5
Form and Instruction B6
Total burden requested under this ICR: 102207 31145 0  
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