Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
12-month Follow-up Survey New 400 527 0 Other-VFRD 12- Month Follow-Up Survey
Other-VRFD Advance Notice
Other-VFRD Survey Reminder Postcard Notice
Other-VFRD Reminder Notice
Other-VRFD Thank you incentive letter
Baseline Survey New 500 708 0 Other-VFRD Baseline Survey
Informed Consent New 500 417 0 Other-VFRD Consent Form
Onsite Audit of sample of case files New 2 2 0 Other-onsite audit of sample of case files
Staff Interviews with Site Staff New 20 32 0 Other-VRFD Staff Interview Topics
Total burden requested under this ICR: 1422 1686 0  
To view an IC, click on IC Title