Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment A -- In-person Preliminary Interview Guide for LHS Leaders New 33 33 0 Form and Instruction 1
Attachment B -- Remote Follow-up Interview Guide for LHS Leaders New 33 33 0 Form and Instruction 2
Attachment C -- Remote Follow-up Interview Guide for Clinical Staff New 22 22 0 Form and Instruction 3
Implementation check-ins: New 121 61 0 Form and Instruction 4
Interview scheduling and other staff assistance New 11 44 0 Form and Instruction 4
Review of materials prior to BOTH preliminary and follow-up interviews New 66 17 0 Form and Instruction 4
Review of materials prior to interviews New 22 6 0 Form and Instruction 4
Total burden requested under this ICR: 308 216 0  
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