Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
End of Wave 1 Feedback Survey New 10 2 0 Other-FEEDBACK
End of Wave 1 Interview New 10 5 0 Other-INTERVIEW
End of Wave 2 Feedback Survey New 10 1 0 Other-FEEDBACK SURVEY
End of Wave 2 Interview New 10 5 0 Other-INTERVIEW
Mentee Post- Assessment New 700 292 0 Other-POSTASSESSMENT
Mentee Pre-Assessment New 700 233 0 Other-PRE-ASSESSMENT
Mentor Feedback Survey New 700 93 0 Other-feedback
Other-MENTOR FEEDBACK
Site Annual Follow-Up Survey New 10 1 0 Other-survey
Site Application-Site Coordinator New 50 6 0 Other-Application
Site LOU New 50 2 0 Other-form
Total burden requested under this ICR: 2250 640 0  
To view an IC, click on IC Title