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