Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Assessment Update (8 systematic questions) Modified 54 4 0 Form and Instruction 1 Annual Assessment Update
Other-Systematic Quesitons
Assessment Observation-Group Debrief Modified 50 13 0 Other-Group Debrief
Assessment and Service Delivery State Lead Interviews-Supplemental Questions Modified 30 15 0 Other-Supplemental Questions
Child Welfare Virtual Conference Exit Survey Modified 225 36 0 Other-Exit Survey
Child Welfare Virtual Conference Focus Group Guide Modified 30 30 0 Other-Focus Group Guide
Child Welfare Virtual Conference Interview Guide Modified 20 10 0 Other-Virtual Interview Guide
Child Welfare Virtual Conference Registration Form Modified 1000 30 0 Other-Registration Form
Child Welfare Virtual Conference Session Surveys Modified 2700 216 0 Other-Session Surveys
Service Delivery and Tracking and Adjustment Observation-Group Debrief Modified 80 20 0 Other-Group Debrief
Tailored Services Practice Model Survey Modified 130 16 0 Other-Model Survey
Total burden requested under this ICR: 4319 390 0  
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