Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Family Focus Group Protocol (Co-definition & Summary Phases) Unchanged 48 48 0 Form and Instruction 4 Family Focus Group Protocol
Family Post-Visit Form Refinement Phase Unchanged 288 23 0 Form and Instruction 8 Family Post Visit Questionaire
Focus Group Participant Characteristics Form – All Phases Modified 120 10 0 Form and Instruction 7 Focus Group Participant Characteristics- All Phases Coaching Instrument
Form and Instruction 7 Instrument 9- MCHB- Assessing the Use of Coaching - 6.5.24-Tracked
Form and Instruction 7 Instrument 9- MCHB- Assessing the Use of Coaching -6.5.24
Home Visitor Learning Cycle Form – Installation & Refinement Phases Unchanged 360 61 0 Form and Instruction 6 Home Visitor Questionaire
Program Eligibility Protocol Unchanged 16 16 0 Form and Instruction 1 Program Eligibility Protocol
Program Staff Focus Group Protocol 1 (Co-definition Phase) Unchanged 24 36 0 Form and Instruction 2 PSFGP Codefinition Focus Group
Program Staff Focus Group Protocol 2 Unchanged 24 36 0 Form and Instruction 3 PSFGP Codefinition Phase 1 Group 2
Program Staff Focus Group Protocol – Installation & Refinement Phases Unchanged 72 72 0 Form and Instruction 9 Staff Focus Group Installation and Refinement
Program Staff Focus Group Protocol – Summary Phase Unchanged 24 24 0 Form and Instruction 5 Focus Group Protocol Summary Phase
Total burden requested under this ICR: 976 326 0  
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