Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline Survey Unchanged 1000 250 0 Form and Instruction none
Consent Form Unchanged 1235 247 0 Form and Instruction 0920-19ARD
Follow-up Survey Unchanged 2688 672 0 Form and Instruction none
Operations Manager Interivew Unchanged 2 2 0 Form and Instruction 0920-19ARD
Provider Interview Guide Unchanged 3 3 0 Form and Instruction none
Total burden requested under this ICR: 4928 1174 0  
To view an IC, click on IC Title