Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews New 100 100 0 Other-Interview
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews New 50 50 0 Other-Interview
Instrument 2: Screening Interview to identify respondents for the HPOG 2.0 National Evaluation first-round telephone interviews New 13 7 0 Other-Screening Interview
Instrument 3: HPOG 2.0 National Evaluation first-round telephone interviews with management, staff, partners, and staffstakeholders New 63 79 0 Other-Interview
Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews New 33 50 0 Other-Interview
Other-Interview
Other-Interview
Other-Interview
Other-Interview
Instrument 5a & 5b: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms New 21000 2100 0 Other-Welcome Packet
Other-Contact Update
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews New 35 35 0 Other-Interview
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews New 50 75 0 Other-Interview
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews New 30 23 0 Other-Interview
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups New 135 203 0 Other-Focus Group
PAGES Grantee- and Participant-Level Data Collection (all grantees) Modified 54 1715 0 Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees) Modified 292 73 0 Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study) Modified 8159 4080 0 Other-Data collection System
Total burden requested under this ICR: 30014 8590 0  
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