PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
SHIP Activity Form
Modified
8640
1008
0
Form and Instruction
NA
STARS Activity Form
SHIP/MIPPA Beneficiary Client Form
Modified
3495000
291250
0
Form and Instruction
NA
STARS BCF
SHIP/MIPPA Media Outreach Education Form
Modified
56250
3750
0
Form and Instruction
NA
STARS MOE
SHIP/MIPPA Group Outreach Education Form
Modified
56250
3750
0
Form and Instruction
NA
STARS GOE
SHIP/MIPPA Team Member Form
Modified
16200
1008
0
Form and Instruction
NA
SIRS Team Member Form
SIRS Individual Interaction-Complex Form
Modified
13870
1156
0
Form and Instruction
NA
STARS Training Form
SIRS Team Member Form
Modified
6696
558
0
Form and Instruction
NA
SIRS Team Member
SMP Group Outreach & Education
Modified
27740
1849
0
Form and Instruction
NA
STARS GOE
SMP Individual Interaction-Basic
Modified
284335
23695
0
Form and Instruction
NA
SIRS Individual Interaction
SMP Media Outreach & Education
Modified
9936
662
0
Form and Instruction
NA
SIRS MOE
SMP Team Member Form
Modified
6696
558
0
Form and Instruction
NA
STARS Team Member
Total burden requested under this ICR:
3981613
329244
0
To view an IC, click on IC Title
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