Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Focus group with motivational interviewer practitioners (icl. informed consent) New 5 5 0 Other-MI Practitioner Focus Group Consent
Other-Text Message Reminders
Focus group with service providers (icl. informed consent and pre-collection questions) New 20 22 0 Other-Service Providers Focus Group Protocol.
Other-Service Provider Focus Group Letter and Consent.
Other-Text Message Reminders
Focus groups with Exiters and Possible Exiters (icl. informed consent and pre-collections) questions New 140 152 0 Other-. Possible Exiters Focus Group Protocol.
Other-Exiters Focus Group Protocol
Other-Exiter and Possible Exiter Focus Group Letter and Consent
Other- Exiter and Possible Exiter Focus Group recruitment call script
Other- Exiter and Possible Exiter Survey Letter and Consent
Other-Exiter and Possible Exiter Survey Reminder Postcard
Other-Exiter and Possible Exiter Survey Reminder Letter
Other- Exiter and Possible Exiter Survey NR Script
Other- Pre-collection instrument
Other-Text Message Reminders
In-depth interviews with state and agency leadership (icl. informed consent and pre-collection questions) New 30 33 0 Other-State Agency Leadership IDI Letter and Consent
Other-State Leaders In-Depth Interview Protocol
Other-Text Message Reminders
Interviews with Exiters and Possible Exiters (icl. informed consent and pre-collection questions) New 70 76 0 Other-Possible Exiters In-Depth Interview Protocol
Other-Exiters In-Depth Interview Protocol
Other-Exiter and Possible Exiter IDI Letter and Consent
Other-Exiter and Possible Exiter IDI recruitment call script
MI Pilot (icl. informed consent and pre-collection questions) New 300 300 0 Other-Exiter MI Pilot Letter and Consent.pdf
Other-MI Practitioners Focus Group Protocol.pdf
Other-Text Message Reminders
Survey (icl. informed consent and pre-collection questions) New 4000 3333 0 Other- Pre-collection instrument
Other-Beyond Benefits Study (BBS Survey)
Other-Exiter and Possible Exiter IDI Letter and Consent
Other-Exiter and Possible Exiter Focus Group Letter and Consent
Other- Service Provider Focus Group Letter and Consent
Other-State Agency Leadership IDI Letter and Consent.
Other- MI Practitioner Focus Group Consent.
Other- Exiter and Possible Exiter Survey Letter and Consent
Total burden requested under this ICR: 4565 3921 0  
To view an IC, click on IC Title