Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Subminimum Wage to Competitive Integrated Employment Program Evaluation	New	4866	2224	0	Form	NA	Site Visit Participant Interviews
					Form	NA	Site Visit Caregiver Focus Group
					Form	NA	Site Visit Implementation Partners
					Form	NA	Site Visit Staff Focus Group
					Form	NA	Site Visit CIE Employers
					Form	NA	Site Visit 14c Certificate Holders
					Form	NA	Consent Form
					Form	NA	Baseline Survey
					Form	NA	Participant Follow up Survey
					Form	NA	DIF Staff Records
					Form	NA	Project Cost and Data Collection Guide
Total burden requested under this ICR:		4866	2224	0
To view an IC, click on IC Title