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: Staff data entry on participant baseline information
Unchanged
1700
85
0
Other-Baseline Data Entry
Instrument 2: Study MIS to track receipt of services
Unchanged
2000
2000
0
Other-MIS
Instrument 3: Staff and community partner interview topic guide
Unchanged
50
50
0
Other-Interview Topic Guide
Instrument 4: Noncustodial parent Participant interview protocol
Unchanged
60
60
0
Other-Interview Protocol
Instrument 5: Staff survey
Unchanged
20
10
0
Other-Survey
Instrument 6: Staff time study
Modified
30
45
0
Other-Time Study
Instrument 7: Custodial Parent (CP) interview protocol
Unchanged
60
60
0
Other-Interview Protocol
Total burden requested under this ICR:
3920
2310
0
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