Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
FSS Evaluation Removed 0 0 0 Other-Draft mini-survey questionnaire
Form XX-XXXX
Form XX-XXXX
Form Baseline Information Form Adult
Form XX-XXXX
FSS PHA Staff Interviews Pre-Interview New 18 9 233 Other-FSS PHA Staff Interviews Pre-Interview
PHA Staff Interviews (on-site) New 27 41 1050 Other-PHA Staff Interviews On Site Case Managers
Other-PHA Staff Interviews On-Site
Other-PHA Staff Interviews Pre-Interview Tables
PHA Staff Interviews (telephone) New 9 14 350 Other-PHA Staff Interviews (telephone)
Study Participant Interviews New 90 135 979 Other-Study Participant Interviews
Total burden requested under this ICR: 144 199 2612  
To view an IC, click on IC Title