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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
Removed
0
0
0
Other-Interview
Instrument 11: HPOG 2.0 Tribal Evaluation program participant non-completer interviews
Removed
0
0
0
Other-Interview
Instrument 12a: COVID-19 Cohort STS
New
1875
1875
0
Other-Survey
Instrument 18: Intermediate Follow-up Survey for the National Evaluation impact study
Modified
379
349
0
Other-Survey
Instrument 18a: Intermediate Follow-up Survey for the National Evaluation impact study - Critical Items Only
Modified
42
14
0
Other-Survey
Instrument 5a: HPOG 2.0 National Evaluation Welcome to the Study Packet
Modified
2500
250
0
Other-Welcome Packet
Instrument 5b: HPOG 2.0 National Evaluation letter and participant contact update form
Modified
5236
524
0
Other-Update Form
Other-Update Form - Phone Version
Instrument 6: HPOG 2.0 Tribal Evaluation grantee and partner administrative staff interviews
Removed
0
0
0
Other-Interview
Instrument 7: HPOG 2.0 Tribal Evaluation program implementation staff interviews
Removed
0
0
0
Other-Interview
Instrument 8: HPOG 2.0 Tribal Evaluation employer interviews
Removed
0
0
0
Other-Interview
Instrument 9: HPOG 2.0 Tribal Evaluation program participant focus groups
Removed
0
0
0
Other-Focus Group
PAGES Grantee- and Participant-Level Data Collection (all grantees)
Modified
21
667
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at Tribal grantees)
Modified
142
36
0
Other-Data collection System
PAGES Participant-Level Baseline Data Collection (participants at non-Tribal grantees participating in impact study)
Modified
1620
810
0
Other-Data collection System
Total burden requested under this ICR:
11815
4525
0
To view an IC, click on IC Title