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 and Summary Phases
	Unchanged	48	48	0	Form and Instruction	4	0906-0098 4_Family Focus Group Protocol-Codefinition Summary (Redline)
Family Post-Visit Form – Refinement Phase	Unchanged	288	23	0	Form and Instruction	7	Family Post-Visit Form – Refinement Phase
Family Post-Visit Form – Refinement Phase	Unchanged	288	23	0	Form and Instruction	7	0906-0098 7_Family Post Visit Form-Refinement (Redline 07302024)
Focus Group Participant Characteristics Form	Modified	120	100	0	Form and Instruction	9	0906-0098_MCHB_Focus Group Participant Characteristics Form_Redline_02282025.docx
Home Visitor Learning Cycle Form – Installation & Refinement Phases	Unchanged	360	61	0	Form and Instruction	6	Home Visitor Learning Cycle Form – Installation & Refinement Phases
	Unchanged	360	61	0	Form and Instruction	6	0906-0098 6_Home Visitor Learning Cycle Form-Installation Refinement (Redline 07302024)
Program Eligibility Protocol	Unchanged	16	16	0	Form and Instruction	1	Program Eligibility Protocol
Program Eligibility Protocol	Unchanged	16	16	0	Form and Instruction	1	0906-0098 1_Program Eligibility Protocol (Redline)
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)
Program Staff Focus Group Protocol 1 (Co-definition Phase)	Unchanged	24	36	0	Form and Instruction	2	0906-0098 2_Program Staff Focus Group 1-Codefinition (Redline)
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
Program Staff Focus Group Protocol 2 – Co-definition Phase	Unchanged	24	36	0	Form and Instruction	3	0906-0098 3_Program Staff Focus Group Protocol 2-Codefinition (Redline)
Program Staff Focus Group Protocol – Installation & Refinement Phases	Unchanged	72	72	0	Form and Instruction	5	Program Staff Installation and Refinement
	Unchanged	72	72	0	Form and Instruction	5	0906-0098 5_Program Staff Focus Group Protocol-Installation Refinement (Redline)
Program Staff Focus Group Protocol – Summary Phase	Unchanged	24	24	0	Form and Instruction	8	Program Staff Focus Group Protocol – Summary Phase
Program Staff Focus Group Protocol – Summary Phase	Unchanged	24	24	0	Form and Instruction	8	0906-0098 8_Program Staff Focus Group Protocol-Summary (Redline)
Total burden requested under this ICR:		976	416	0
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