Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cost Unchanged 168 42 0 Other-survey
Dosage Unchanged 168 286 0 Other-survey
Fidelity Unchanged 168 286 0 Other-survey
Grantee program staff Unchanged 168 42 0 Other-SURVEY
Health-care linkages Unchanged 168 42 0 Other-survey
Number of Facilitators Unchanged 168 42 0 Other-survey
Number of partners Unchanged 168 42 0 Other-SURVEY
Participants reach Unchanged 168 470 0 Other-survey
Total burden requested under this ICR: 1344 1252 0  
To view an IC, click on IC Title