Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Implementation Instrument New 100 230 0 Form and Instruction Annual Implementation Instrument Annual Implementation Instrument
Community-Level Outcomes Module New 25 75 0 Form and Instruction Community-Level Outcomes Community-Level Outcomes
Evaluation Plan New 25 200 0 Form and Instruction Evaluation Plan Evaluation Plan
Grantee-Level Interview New 17 26 0 Form and Instruction Grantee-Level Interview Grantee-Level Interview
Grantee-Level Outcomes Module New 25 75 0 Form and Instruction Grantee-Level Outcomes Grantee-Level Outcomes
Substitue Data Request Form New 12 12 0 Form and Instruction Substitue Data Request Form Substitue Data Request Form
Total burden requested under this ICR: 204 618 0  
To view an IC, click on IC Title