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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
12-Month Follow-Up Participant Interview (Attachment K)
Unchanged
1707
854
0
Other-Participant Interview
6-Month Follow-Up Participant Interview (Attachment J)
Unchanged
800
200
0
Other-Participant Survey
Other-Participant Survey - Franklin Stark
Baseline information form for participants (Attachment D)
Modified
4133
1034
0
Other-Standard BIF
Other-Tailored BIF - ARC Site
Other-Tailored BIF - CCC Site
Other-Tailored BIF - Franklin-Stark Site
Other-Tailored BIF - 2Gen-Chicago Site
Other-Tailored BIF - IPS FQHC site
Other-Tailored BIF - IPS SUD
Other-Tailored BIF - TANF-SNAP study
Contact update request form (Attachment E)
Unchanged
2507
251
0
Other-
Discussion guide for national policy experts and researchers (Attachment A)
Unchanged
3
3
0
Other-
Discussion guide for program staff at potential sites (Attachment C)
Unchanged
24
66
0
Other-
Discussion guide for state and local administrators (Attachment B)
Unchanged
18
36
0
Other-
Participant Case Study Interview Guide (Attachment M)
Unchanged
28
42
0
Other-Interview Guide
Program Managers, Staff, and Partners Interview Guide (Attachment L)
Unchanged
93
140
0
Other-Interview Guide
Program Staff Case Study Interview Guide (Attachment N)
Unchanged
28
28
0
Other-Interview Guide
Program Staff Survey (Attachment O)
Unchanged
100
50
0
Other-Staff Survey
Program managers, staff, and partner interview guide - SUD Programs (Attachment F)
Unchanged
60
90
0
Other-
Program managers, staff, and partner interview guide - Whole Family Approach Programs (Attachment G)
Unchanged
10
15
0
Other-
Total burden requested under this ICR:
9511
2809
0
To view an IC, click on IC Title