Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Consent for qualitative interview - Spanish (Att 5d) Unchanged 50 4 0 Form and Instruction 0920-1402 Attachment 5D SHIELD QUAL Model Consent (Spanish)
Consent for qualitative interview– English (Att 5c) Unchanged 50 4 0 Form and Instruction 0920-1402 Attachment 5c SHIELD Model Qual Consent (English)
In-depth Interview – English (Att 6c) Modified 50 75 0 Form and Instruction 0920-1402 Attachment 6C SHIELD Qualitative IDI Guide (English)
In-depth Interview – Spanish (Att 6d) Unchanged 50 75 0 Form and Instruction 0920-1402 Attachment 6D SHIELD Qualitative IDI Guide (Spanish)
SHIELD Model Consent (English) Unchanged 2000 167 0 Form and Instruction 0920-1402 Attachment 5A SHIELD Model and Actual Consent (English)
SHIELD Model Consent (Spanish) Unchanged 500 42 0 Form and Instruction 0920-1402 Attachment 5B SHIELD Model Consent (Spanish)
SHIELD Model Recruitment Script (Spanish) Unchanged 500 125 0 Form and Instruction 0920-1402 Attachment 4b SHIELD Quantitative Recruitment Script (Spanish)
SHIELD Recruitment Script (English) Unchanged 2000 500 0 Form and Instruction 0920-1402 Attachment 4a SHIELD Quantitative Recruitment Script (English)
SHIELD Survey (English) Modified 2000 1666 0 Form and Instruction 0920-1402 Attachment 6A SHIELD Survey (English)
SHIELD Survey (Spanish) Modified 500 416 0 Form and Instruction 0920-1402 Attachment 6B SHIELD Survey SPANISH
Total burden requested under this ICR: 7700 3074 0  
To view an IC, click on IC Title