Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Consent for qualitative interview - Spanish (Att 5d) New 50 4 0 Form and Instruction 0920-1402
Consent for qualitative interview– English (Att 5c) New 50 4 0 Form and Instruction 0920-1402
In-depth Interview – English (Att 6c) New 50 75 0 Form and Instruction 0920-1402
In-depth Interview – Spanish (Att 6d) New 50 75 0 Form and Instruction 0920-1402
SHIELD Model Consent (English) Modified 2000 167 0 Form and Instruction 0920-1402
SHIELD Model Consent (Spanish) Modified 500 42 0 Form and Instruction 0920-1402
SHIELD Model Recruitment Script (Spanish) Modified 500 125 0 Form and Instruction 0920-1402
SHIELD Recruitment Script (English) Modified 2000 500 0 Form and Instruction 0920-1402
SHIELD Survey (English) Modified 2000 1666 0 Form and Instruction 0920-1402
SHIELD Survey (Spanish) Modified 500 416 0 Form and Instruction 0920-1402
Total burden requested under this ICR: 7700 3074 0  
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