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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
Modified
1600
1600
0
Other-Survey
In-depth participant interviews
Modified
16
40
0
Other-Interviews
Semi-structured staff interviews
Modified
44
66
0
Other-Interviews
Staff reports of program service receipt
Modified
104000
3120
0
Other-Staff reports
Staff survey
Modified
32
24
0
Other-Survey
Video recordings of coaching sessions
Modified
180
18
0
Instruction
Total burden requested under this ICR:
109872
6188
0
To view an IC, click on IC Title
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