Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Performance Report New 13 130 0 Form and Instruction 0920-23AA
Health Equity Capacity Assessment New 10 5 0 Form and Instruction 0920-23AA
Key Informant Interview Evaluator New 13 13 0 Form and Instruction 0920-23AA
Key Informant Interview – Project Lead New 13 13 0 Form and Instruction 0920-23AA
Prevention Infrastructure Assessment New 3 2 0 Form and Instruction 0920-23AA
Total burden requested under this ICR: 52 163 0  
To view an IC, click on IC Title