Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline survey & Identifying and contact information – participants Unchanged 3333 1400 0 Other-Survey
Other-Identifying and contact information
Baseline survey & Identifying and contact information –staff Unchanged 3333 1400 0 Other-Survey
Other-Identifying and contact information
Cost workbook – staff New 13 416 0 Other-Workbook
In-depth participant interviews – participants New 67 134 0 Other-Interview Guide
Program leadership survey – program leaders New 17 4 0 Other-Survey
Semi-structured program discussion guide - program staff and providers New 27 27 0 Other-Discussion Guide
Semi-structured program discussion guide -program supervisors and partners New 27 27 0 Other-Discussion Guide
Semi-structured program discussion guide –program leaders New 13 20 0 Other-Discussion Guide
Staff characteristics survey – staff New 67 28 0 Other-Survey
Total burden requested under this ICR: 6897 3456 0  
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