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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 1_Grantee web survey
New
30
30
0
Form and Instruction
Instrument 1
Grantee Web Survey
Instrument 2_Grantee interview topic guide
New
59
89
0
Other-Interview topic guide
Instrument 3_Listening visit topic guide for clinic administrators
New
27
20
0
Other-Listening visit topic guide
Instrument 4_Listening visit topic guide for clinical service providers
New
53
53
0
Other-Listening visit topic guide
Instrument 5_Listening visit topic guide for community outreach and partner staff
New
27
20
0
Other-Listening visit topic guide
Instrument 6_Client survey
New
100
17
0
Form and Instruction
Instrument 6
Client survey
Instrument 7_Subject Matter Expert Topic Guide
New
8
8
0
Other-Interview topic guide
Total burden requested under this ICR:
304
237
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
