Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Innovation Site Visit Discussion Guide - Administrators Modified 2 2 72 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Partners Unchanged 2 2 71 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Providers Unchanged 2 2 143 Other-Discussion Guide
Innovation Site Visit Discussion Guide - Support Staff Unchanged 2 2 39 Other-Discussion Guide
Program Survey Modified 16 16 772 Form 0920-1279 Program Survey
Site Visit Discussion Guide - Administrators Modified 8 12 579 Form 0920-1279 Key Administrative Staff Discussion Guide
Site Visit Discussion Guide - Partners Unchanged 16 16 757 Other-Discussion Guide
Site Visit Discussion Guide - Providers Unchanged 16 16 1529 Other-Discussion Guide
Site Visit Discussion Guide - Support Staff Unchanged 16 16 420 Other-Discussion Guide
Total burden requested under this ICR: 80 84 4382  
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