Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Family Focus Group Protocol – Co-definition & Summary Phases New 48 48 0 Form and Instruction 4 Family Focus Group Protocol- Co-Definition and Summary Phases
Family Post-Visit Form – Refinement Phase New 288 23 0 Form and Instruction 7 Family Post-Visit Form – Refinement Phase
Focus Group Participant Characteristics Form New 120 100 0 Form and Instruction 9 Focus Group Participant Characteristics Form
Home Visitor Learning Cycle Form – Installation & Refinement Phases New 360 61 0 Form and Instruction 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases
Program Eligibility Protocol New 16 16 0 Form and Instruction 1 Program Eligibility Protocol
Program Staff Focus Group Protocol 1 (Co-definition Phase) New 24 36 0 Form and Instruction 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)
Program Staff Focus Group Protocol 2 – Co-definition Phase New 24 36 0 Form and Instruction 3 Program Staff Focus Group Protocol 2- Co-definition Phase
Program Staff Focus Group Protocol – Installation & Refinement Phases New 72 72 0 Form and Instruction 5 Program Staff Installation and Refinement
Program Staff Focus Group Protocol – Summary Phase New 24 24 0 Form and Instruction 8 Program Staff Focus Group Protocol – Summary Phase
Total burden requested under this ICR: 976 416 0  
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