Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Contact Information New 70 1 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Eligibility Screener New 140 7 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Interview New 15 23 0 Form and Instruction NA
Form and Instruction NA
Questionnaire New 140 140 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Total burden requested under this ICR: 365 171 0  
To view an IC, click on IC Title