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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Baseline data collection – staff
Unchanged
2000
660
0
Other-Survey
Baseline data collection – study participants
Unchanged
2000
660
0
Other-Survey
First follow-up survey
Unchanged
800
800
0
Other-Survey
In-depth participant interviews
Unchanged
8
20
0
Other-Interviews
Semi-structured staff interviews
Unchanged
22
33
0
Other-Interviews
Staff reports of program service receipt
Modified
52000
1560
0
Other-Staff reports
Staff survey
Unchanged
16
12
0
Other-Survey
Video recordings of coaching sessions
Unchanged
90
9
0
Instruction
Total burden requested under this ICR:
56936
3754
0
To view an IC, click on IC Title
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