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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title