Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Participant interview topic guide New 60 60 0 Form and Instruction 1 Participant Interview Topic Guide
Participant survey tracking letter New 3000 300 0 Instruction
Staff and community partner interview topic guide New 100 100 0 Form and Instruction 1 Staff Interview Topic Guide
Staff data entry for random assignment New 6000 300 0 Form and Instruction 1 Staff Data Entry
Study MIS to track program participation New 6000 6000 0 Form and Instruction 1 Study MIS
Total burden requested under this ICR: 15160 6760 0  
To view an IC, click on IC Title