Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Qualitative Eligibility Screener Unchanged 96 2 0 Form and Instruction None
Form and Instruction None
Qualitative Interviews Modified 80 120 0 Form and Instruction None
Form and Instruction None
Form and Instruction 0920-1398
Form and Instruction 0920-1398
Quantitative Base Eligibility Screener Unchanged 1338 22 0 Form and Instruction None
Form and Instruction None
Quantitative Core Survey Unchanged 1000 167 0 Form and Instruction None
Form and Instruction None
Quantitative Population Eligibility Screener Modified 1204 100 0 Form and Instruction None
Form and Instruction None
Form and Instruction 0920-1398
Form and Instruction 0920-1398
Quantitative Population-specific Questions Unchanged 1000 83 0 Form and Instruction None
Form and Instruction None
Total burden requested under this ICR: 4718 494 0  
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