Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cost Modified 84 42 0 Other-survey
Dissemination Modified 168 42 0 Other-survey
Dosage Modified 168 286 0 Other-survey
Fidelity Modified 168 286 0 Other-survey
Health-care linkages Modified 168 42 0 Other-survey
Number of Facilitators Modified 168 42 0 Other-survey
Number of partners and sustainability Modified 168 42 0 Other-survey
Participants reach Modified 168 470 0 Other-survey
Total burden requested under this ICR: 1260 1252 0  
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