Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SHIP Activity Form New 8640 1008 0 Form and Instruction 13
SHIP/MIPPA Beneficiary Client Form Modified 3495000 291250 0 Form and Instruction 1
SHIP/MIPPA Media Outreach Education Form Modified 56250 3750 0 Form and Instruction 2
SHIP/MIPPA Group Outreach Education Form Modified 56250 3750 0 Form and Instruction 4
SHIP/MIPPA Team Member Form Modified 16200 1008 0 Form and Instruction 3
SIRS Individual Interaction-Complex Form New 13870 1156 0 Form and Instruction 12
SIRS Team Member Form New 6696 558 0 Form and Instruction 11
SMP Group Outreach & Education New 27740 1849 0 Form and Instruction 8
SMP Individual Interaction-Basic New 284335 23695 0 Form and Instruction 9
SMP Media Outreach & Education New 9936 662 0 Form and Instruction 7
SMP Team Member Form New 6696 558 0 Form and Instruction 10
Total burden requested under this ICR: 3981613 329244 0  
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