Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Pre-Submission Screening Form New 70 6 0 Form 1
Site Visit Interview Guide: Direct Service Provider New 60 30 0 Instruction
Site Visit Interview Guide: Evaluator New 30 15 0 Instruction
Site Visitor Interview Guide - Program Manager New 30 45 0 Instruction
Submission Form New 50 150 0 Form 2
Total burden requested under this ICR: 240 246 0  
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