Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline survey & Identifying and contact information – participants Modified 1000 420 0 Other-Survey
Other-Identifying and contact information
Baseline survey & Identifying and contact information –staff Modified 1040 420 0 Other-Survey
Other-Identifying and contact information
Cost workbook – staff Modified 24 256 0 Other-Workbook
First follow-up survey – participants Modified 3100 858 0 Other-Survey
In-depth participant interviews – participants Modified 20 13 0 Other-Interview Guide
Program leadership survey – program leaders Modified 5 1 0 Other-Survey
Second follow-up survey – participants Modified 3360 930 0 Other-Survey
Semi-structured employer discussion guide – employers Modified 8 3 0 Other-Discussion Guide
Semi-structured program discussion guide - program staff and providers Modified 8 3 0 Other-Discussion Guide
Semi-structured program discussion guide -program supervisors and partners Modified 8 3 0 Other-Discussion Guide
Semi-structured program discussion guide –program leaders Modified 4 2 0 Other-Discussion Guide
Service receipt tracking – staff Modified 12000 320 0 Other-
Staff characteristics survey – staff Modified 20 3 0 Other-Survey
Total burden requested under this ICR: 20597 3232 0  
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