Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline Assessment New 75 75 1826 Form n/a
Contact Information New 75 5 122 Form n/a
Eligibility Screening New 150 10 243 Form n/a
Follow-up Assessment New 150 150 3651 Form n/a
Participant Interview New 10 10 243 Form n/a
Staff Interview New 5 5 122 Form n/a
Total burden requested under this ICR: 465 255 6207  
To view an IC, click on IC Title