Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Innovation Site Visit Discussion Guide - Administrators New 2 2 72 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Partners New 2 2 71 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Providers New 2 2 143 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Support Staff New 2 2 39 Other-Discussion Guide
Program Survey New 16 16 772 Form none Program Survey
Site Visit Discussion Guide - Administrators New 8 12 579 Other-Discussion Guide
Site Visit Discussion Guide - Partners New 16 16 757 Other-Discussion Guide
Site Visit Discussion Guide - Providers New 16 16 1529 Other-Discussion Guide
Site Visit Discussion Guide - Support Staff New 16 16 420 Other-Discussion Guide
Total burden requested under this ICR: 80 84 4382  
To view an IC, click on IC Title