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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Baseline survey & Identifying and contact information – participants
Modified
3333
1400
0
Other-Survey
Other-Identifying and contact information
Baseline survey & Identifying and contact information –staff
Modified
3333
1400
0
Other-Survey
Other-Identifying and contact information
Cost workbook – staff
Unchanged
13
416
0
Other-Workbook
First follow-up survey – participants
New
2667
2214
0
Other-Survey
In-depth participant interviews – participants
Unchanged
67
134
0
Other-Interview Guide
Program leadership survey – program leaders
Unchanged
17
4
0
Other-Survey
Second follow-up survey – participants
New
2667
2214
0
Other-Survey
Semi-structured employer discussion guide – employers
Unchanged
17
17
0
Other-Discussion Guide
Semi-structured program discussion guide - program staff and providers
Unchanged
27
27
0
Other-Discussion Guide
Semi-structured program discussion guide -program supervisors and partners
Unchanged
27
27
0
Other-Discussion Guide
Semi-structured program discussion guide –program leaders
Unchanged
13
20
0
Other-Discussion Guide
Service receipt tracking – staff
Unchanged
16750
1340
0
Other-
Staff characteristics survey – staff
Unchanged
67
28
0
Other-Survey
Total burden requested under this ICR:
28998
9241
0
To view an IC, click on IC Title