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  
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