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 (Co-definition & Summary Phases)
Form and Instruction 4 0906-0092 4_Family Focus Group Protocol-Codefinition Summary (Redline 07302024)
Family Post-Visit Form – Refinement Phase Unchanged 288 23 0 Form and Instruction 7 Family Post-Visit Form – Refinement Phase
Form and Instruction 7 0906-0092 7_Family Post Visit Form-Refinement (Redline 07302024)
Focus Group Participant Characteristics Form – All Phases Modified 120 10 0 Form and Instruction 9 Focus Group Participant Characteristics Form_Revised 02.28.25
Home Visitor Learning Cycle Form – Installation & Refinement Phases Unchanged 360 61 0 Form and Instruction 6 Home Visitor Learning Cycle Form – Installation & Refinement Phases
Form and Instruction 6 0906-0092 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
Program Eligibility Protocol Unchanged 16 16 0 Form and Instruction 1 Program Eligibility Protocol
Form and Instruction 1 Program Eligibility Protocol (Track Changes 07302024)
Program Staff Focus Group Protocol (Installation & Refinement Phases) Unchanged 72 72 0 Form and Instruction 5 Program Staff Focus Group Protocol – Installation & Refinement Phases
Form and Instruction 5 0906-0092 5_Program Staff Focus Group Protocol-Installation Refinement (Redline 07302024)
Program Staff Focus Group Protocol (Summary Phase) Unchanged 24 24 0 Form and Instruction 8 Program Staff Focus Group Protocol (Summary Phase)
Form and Instruction 8 0906-0092 8_Program Staff Focus Group Protocol-Summary (Redline 07302024)
Program Staff Focus Group Protocol 1 (Co-definition Phase) Unchanged 24 36 0 Form and Instruction 2 Program Staff Focus Group Protocol 1 (Co-definition Phase)
Form and Instruction 2 0906-0092 2_Program Staff Focus Group Protocol 1-Codefinition (Redline 07302024)
Program Staff Focus Group Protocol 2 (Co-definition Phase) Unchanged 24 36 0 Form and Instruction 3 Program Staff Focus Group Protocol 2 (Co-definition Phase)
Form and Instruction 3 0906-0092 3_Program Staff Focus Group Protocol 2-Codefinition (Redline 07302024)
Total burden requested under this ICR: 976 326 0  
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