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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Modified
67
67
0
Other-Interview
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
Modified
34
34
0
Other-Interview
Instrument 12: Short-Term Follow-up Survey for the HPOG 2.0 National Evaluation Impact Evaluation
Modified
1981
1981
0
Other-Survey
Instrument 13: Screening tool for identifying respondents for second-round telephone interviews
New
13
7
0
Other-Screener
Instrument 14: Second round telephone interview protocol for non-tribal HPOG grantee staff and partners
New
63
79
0
Other-Interview Guide
Instrument 15: Program operator interview guide for the systems study
New
5
6
0
Other-Interview Guide
Instrument 16: Partner interview guide for the systems study
New
37
37
0
Other-Interview Guide
Instrument 17: Participant interview guide
New
47
63
0
Other-Interview Guide
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
New
1333
1333
0
Other-Survey
Instrument 19: Phone-based Skills Assessment Pilot Instrument
New
100
75
0
Other-Phone-based Assessment
Instrument 20: Program cost survey
New
13
91
0
Other-Survey
Instrument 4: HPOG 2.0 National Evaluation in-person implementation interviews
Removed
0
0
0
Other-Interview
Other-Interview
Other-Interview
Other-Interview
Other-Interview
Instrument 5a: HPOG 2.0 National Evaluation welcome packet, letter and participant contact update forms
Removed
0
0
0
Other-Welcome Packet
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Modified
11751
1175
0
Other-Update Form
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Modified
24
24
0
Other-Interview
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Modified
34
51
0
Other-Interview
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Modified
20
15
0
Other-Interview
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Modified
90
135
0
Other-Focus Group
PAGES Grantee- and Participant-Level Data Collection (all grantees)
Modified
64
2032
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Modified
430
108
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
Modified
4934
2467
0
Other-Data collection System
Total burden requested under this ICR:
21040
9780
0
To view an IC, click on IC Title