Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Healthy Start Program Survey Instruments	New	1601	600	0	Instruction
					Instruction
					Instruction
					Instruction
					Instruction
					Form and Instruction	1	Program Survey
					Form and Instruction	2	Network Survey
					Form and Instruction	3	Participant Survey
					Form and Instruction	5	Stakeholder Interview
					Form and Instruction	4	Participant Survey Spanish
					Form and Instruction	6	Results and Recommendations
					Instruction
					Instruction
Total burden requested under this ICR:		1601	600	0
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