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