Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Instrument 10. In-depth participant interview guide New 67 134 0 Other-Interview Guide
Instrument 11. Cost workbook New 13 416 0 Other-Cost Workbook
Instrument 6. Staff characteristics survey New 67 28 0 Other-Survey
Instrument 7. Program leadership survey New 17 4 0 Other-Survey
Instrument 8. Semi-structured program discussion guide - program staff and providers New 27 27 0 Other-Discussion Guide
Instrument 8. Semi-structured program discussion guide - program supervisors and partners New 27 27 0 Other-Discussion Guide
Instrument 8. Semi-structured program discussion guide –program leaders New 13 20 0 Other-Discussion Guide
Instruments 1 & 2. Baseline survey & Identifying and contact information – participants Modified 3333 1400 0 Other-Survey
Other-Identifying and contact information
Instruments 1 & 2. Baseline survey & Identifying and contact information –staff Modified 3333 1400 0 Other-Survey
Other-Identifying and contact information
Total burden requested under this ICR: 6897 3456 0  
To view an IC, click on IC Title