Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
RETAIN Enrollee Surveys (R1 & R2) Unchanged 24000 6000 0 Other-RETAIN ENROLLEE SURVEY INSTRUMENTS (R1, R2)
Other-RETAIN ENROLLEE SURVEY MAILINGS (R1, R2)
RETAIN Provider Surveys (R1 & R2) Modified 800 190 0 Other-RETAIN PROVIDER SURVEY INSTRUMENTS (R1, R2)
Other-RETAIN PROVIDER SURVEY MAILINGS (R1, R2)
Other-Finalized Survey Questions C15-C18
RETAIN Service Users Interview Unchanged 600 90 0 Other-RETAIN Service Users Interview Topics
RETAIN Staff Activity Logs Unchanged 52 61 0 Other-RETAIN Staff Activity Logs
RETAIN Staff Interviews Unchanged 76 97 0 Other-RETAIN Staff Interview Topics
Total burden requested under this ICR: 25528 6438 0  
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