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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 1 - Provider screener
New
120
40
0
Other-Screener
Other-Screener - Spanish
Instrument 2 - Provider interview #1
New
60
90
0
Other-Interview
Other-Interview - Spanish
Instrument 3 - Provider logistics call
New
60
60
0
Other-Call
Other-Call - Spanish
Instrument 4 - Provider photo journals
New
480
48
0
Other-photo journals
Other-photo journals - Spanish
Instrument 5 - Provider audio journals
New
480
72
0
Other-audio journals
Other-audio journals - Spanish
Instrument 6 - Provider interview #2
New
60
90
0
Other-Interview
Other-Interview - Spanish
Instrument 7 - Family member interview
New
120
120
0
Other-Interview
Other-Interview - Spanish
Instrument 8 - Community member interview
New
60
30
0
Other-Interview
Other-Interview - Spanish
Other-Interview
Other-Interview - Spanish
Instrument 9 - Provider feedback focus group
New
20
20
0
Other-focus group
Other-focus group - Spanish
Total burden requested under this ICR:
1460
570
0
To view an IC, click on IC Title