Information Collection List

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