Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
General ADVANCE Ended Survey (Leadership, PAID) New 53 27 1799 Other-Evaluation
General ADVANCE Ended Survey and Single Institution Self-Assessment Ended Survey (Version A) New 1 1 68 Other-Evaluation
Other-Evaluation
General ADVANCE Ongoing Survey (PLAN-IHE, PLAN-D, Adaptation, and Partnership) New 13 7 441 Other-Evaluation
Institutional Transformation Applicant Survey New 120 60 4074 Other-Survey
Partnership Ended Survey (PAID, PLAN-IHE, and PLAN-D) New 29 15 985 Other-Evaluation
Single Institution Organizational Change Ended Survey (IT, PAID) New 75 56 3820 Other-Evaluation
Single Institution Organizational Change Ended Survey and Partnership Ended Survey New 2 3 170 Other-Evaluation
Other-Evaluation
Single Institution Organizational Change Ended Survey and Single Institution Self-Assessment Ended Survey (Version A) New 1 1 85 Other-Evaluation
Other-Evaluation
Single Institution Organizational Change Ongoing New 17 9 577 Other-Evaluation
Single Institution Self-Assessment Ended Survey (version A) (IT Start and IT Catalyst) New 17 9 577 Other-Evaluation
Single Institution Self-Assessment Ended Survey (version B) (IT Start and IT Catalyst) New 20 10 679 Other-Evaluation
Teleconference Interview Questions New 12 12 815 Other-Survey
Total burden requested under this ICR: 360 210 14090  
To view an IC, click on IC Title