PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 1: Screener for selecting fatherhood program visit sites – Screened, not selected for program visit
New
10
5
0
Other-Screener
Instrument 1: Screener for selecting fatherhood program visit sites – Screened, selected for program visit (includes recruitment activities)
New
18
108
0
Other-Screener
Instrument 2: Semi-structured interviews with fatherhood program staff
New
48
96
0
Other-Protocol
Instrument 3: Semi-structured interviews with program partner staff
New
14
28
0
Other-Protocol
Instrument 4: Semi-structured interviews with nonparticipating fathers
New
20
30
0
Other-Protocol
Instrument 5: Focus groups with fathers
New
104
208
0
Other-Protocol
Instrument 6: Focus groups with coparents
New
48
96
0
Other-Protocol
Instrument 7: Interviews with curriculum developers
New
7
7
0
Other-Protocol
Instrument 8: Demographic questionnaire – fathers
New
124
31
0
Other-Questionnaire
Instrument 9: Demographic questionnaire-coparents
New
48
12
0
Other-Questionnaire
Total burden requested under this ICR:
441
621
0
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