Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Audio Journaling (collection + debrief) New 22 22 0 Other-Audio Journaling Activities
Audio Journaling Training New 22 22 0 Instruction
Instruction
Co-Parent Interview (including consent) New 2 2 0 Other-Interview
Father focus group (including consent) New 32 32 0 Other-Focus Group
Instruction
Instruction
Nine-month Follow-up survey New 548 411 0 Other-Survey
Photo Voice (collection + focus group + debrief) New 2 7 0 Other-Photo Voice Activities
Photo Voice Training New 2 4 0 Instruction
Instruction
Program Information and management tool (TIES Table Template) Modified 640 53 0 Other-Template
Staff Interview (including consent) New 40 40 0 Other-Interview
TIES Baseline Survey Modified 1200 440 0
TIES Consent Materials for Fathers (over 18 years old) Modified 1504 251 0 Other-Consent material
TIES Contact Updates Modified 1200 200 0 Other-Contact Update
TIES Reflection from Fathers Modified 1200 300 0 Other-Reflection
TIES Reflection from Staff Modified 118 30 0 Other-Reflections
Total burden requested under this ICR: 6532 1814 0  
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