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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 10: HPOG 2.0 Tribal Evaluation program participant completer interviews
Unchanged
67
67
0
Other-Interview
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
Unchanged
34
34
0
Other-Interview
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
Modified
1262
1161
0
Other-Survey
Instrument 18a: Intermediate Follow-up Survey for the National Evaluation impact study - Critical Items Only
Unchanged
72
24
0
Other-Survey
Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet
Unchanged
3200
320
0
Other-Welcome Packet
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Unchanged
16386
2122
0
Other-Update Form
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Unchanged
24
24
0
Other-Interview
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Unchanged
34
51
0
Other-Interview
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Unchanged
20
15
0
Other-Interview
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Unchanged
90
135
0
Other-Focus Group
PAGES Grantee- and Participant-Level Data Collection (all grantees)
Unchanged
64
2032
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Unchanged
430
108
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
Unchanged
6100
3050
0
Other-Data collection System
Total burden requested under this ICR:
27783
9143
0
To view an IC, click on IC Title