Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DSMES Paraprofessional Team Member Interview New 28 56 1008 Form and Instruction n/a
DSMES Partner Site-Level Rapid Evaluation Nomination New 17 9 374 Form and Instruction n/a
Other-WORD view of screen shot content
DSMES Partner Site-Level Rapid Evaluation Survey New 340 170 4930 Form and Instruction n/a
DSMES Professional Team Member Interview New 28 56 2296 Form and Instruction n/a
DSMES Program Coordinator Interview New 14 28 756 Form and Instruction n/a
Evaluation and Performance Measurement Plan (EPMP) New 17 136 5984 Form and Instruction n/a
National DPP Lifestyle Coach Interview New 28 28 588 Form and Instruction n/a
National DPP Partner Site-Level Rapid Evaluation Nomination New 17 9 374 Form and Instruction n/a
Other-WORD view of screen shot content
National DPP Partner Site-Level Rapid Evaluation Survey New 340 170 4590 Form and Instruction n/a
National DPP Program Coordinator Interview New 14 14 378 Form and Instruction n/a
Recipient-Led Evaluation Reporting New 51 408 17952 Form and Instruction n/a
Total burden requested under this ICR: 894 1084 39230  
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