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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
*NOT NEW* Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
New
14700
1470
0
Other-Update Form
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Unchanged
100
100
0
Other-Interview
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
Unchanged
50
50
0
Other-Interview
Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation
New
3467
3467
0
Other-Survey
Instrument 2: Screening Interview to identify respondents for the HPOG 2.0 National Evaluation first-round telephone interviews
Removed
0
0
0
Other-Screening Interview
Instrument 3: HPOG 2.0 National Evaluation first-round telephone interviews with management, staff, partners, and staffstakeholders
Removed
0
0
0
Other-Interview
Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews
Unchanged
33
50
0
Other-Interview
Other-Interview
Other-Interview
Other-Interview
Other-Interview
Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms
Modified
4550
455
0
Other-Welcome Packet
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Unchanged
35
35
0
Other-Interview
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Unchanged
50
75
0
Other-Interview
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Unchanged
30
23
0
Other-Interview
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Unchanged
135
203
0
Other-Focus Group
PAGES Grantee- and Participant-Level Data Collection (all grantees)
Modified
38
1207
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Modified
693
173
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
Modified
7393
3697
0
Other-Data collection System
Total burden requested under this ICR:
31274
11005
0
To view an IC, click on IC Title