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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)
Modified
1433
717
0
Other-Participant Survey
Other-K-1: SUD Program Participant Survey
Other-Survey
6-Month Follow-Up Participant Interview (Attachment J)
Removed
0
0
0
Other-Participant Survey
Other-Participant Survey - Franklin Stark
Baseline information form for participants (Attachments D)
Modified
1000
250
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)
Modified
1333
133
0
Other-
Discussion guide for national policy experts and researchers (Attachment A)
Removed
0
0
0
Other-
Discussion guide for program staff at potential sites (Attachment C)
Removed
0
0
0
Other-
Discussion guide for state and local administrators (Attachment B)
Removed
0
0
0
Other-
Participant Case Study Interview Guide (Attachment M)
Modified
28
42
0
Other-Interview Guide
Program Managers, Staff, and Partners Interview Guide (Attachment L)
Modified
134
201
0
Other-Interview Guide
Program Staff Case Study Interview Guide (Attachment N)
Modified
28
28
0
Other-Interview Guide
Program Staff Survey (Attachment O)
Modified
100
50
0
Other-Staff Survey
Program managers, staff, and partner interview guide - SUD Programs (Attachment F)
Modified
20
30
0
Other-
Program managers, staff, and partner interview guide - Whole Family Approach Programs (Attachment G)
Modified
14
21
0
Other-
Total burden requested under this ICR:
4090
1472
0
To view an IC, click on IC Title