Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Comprehensive Evaluation Resource Use and Cost Inventory Tool_Partner (Attachment 5b) Unchanged 55 138 0 Form and Instruction 0920-24FI
Comprehensive Evaluation Resource Use and Cost Inventory Tool_Recipient (Attachment 5a) Unchanged 37 93 0 Form and Instruction 0920-24FI
Cost Study Interview Guide_Partner (Attachment 5d) Modified 55 55 0 Form and Instruction 0920-1453
Cost Study Interview Guide_Recipient (Attachment 5c) Unchanged 37 37 0 Form and Instruction 0920-24FI
Eval Assessment CCL Partner Interview Guide NCHP_ICHP (Attachment 3n) Modified 6 9 0 Form and Instruction 0920-1453
Eval Assessment CCL Partner Interview Guide WW (Attachment 3o) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment CCL Recipient Interview Guide NCHP_ICHP (Attachment 3l) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment CCL Recipient Interview Guide WW (Attachment 3m) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment CQM Partner Interview Guide NCHP_ICHP (Attachment 3f) Modified 6 9 0 Form and Instruction 0920-1453
Eval Assessment CQM Partner Interview Guide WW (Attachment 3g) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment CQM Recipient Interview Guide NCHP_ICHP (Attachment 3d) Modified 6 9 0 Form and Instruction 0920-1453
Eval Assessment CQM Recipient Interview Guide WW (Attachment 3e) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment LC Interview Guide_NCHP_ICHP (Attachment 3c) Modified 12 12 0 Form and Instruction 0920-1453
Eval Assessment TBC Partner Interview Guide NCHP_ICHP (Attachment 3j) Modified 6 9 0 Form and Instruction 0920-1453
Eval Assessment TBC Partner Interview Guide WW (Attachment 3k) Modified 3 5 0 Form and Instruction 0920-1453
Eval Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 3h) Modified 6 9 0 Form and Instruction 0920-1453
Eval Assessment TBC Recipient Interview Guide WW (Attachment 3i) Modified 3 5 0 Form and Instruction 0920-1453
Evaluability Assessment Nomination Form_NCHP_ICHP (Attachment 3a) Modified 24 12 0 Form and Instruction 0920-1453
Evaluability Assessment Nomination Form_WW (Attachment 3b) Modified 12 6 0 Form and Instruction 0920-1453
Ex Assessment CCL Partner Interview Guide NCHP_ICHP (Attachment 4l) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment CCL Partner Interview Guide_WW (Attachment 4m) Modified 1 2 0 Form and Instruction 0920-1453
Ex Assessment CCL Recipient Interview Guide NCHP_ICHP (Attachment 4j) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment CCL Recipient Interview Guide_WW (Attachment 4k) Modified 2 3 0 Form and Instruction 0920-1453
Ex Assessment CQM Partner Interview Guide NCHP_ICHP (Attachment 4d) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment CQM Partner Interview Guide_WW (Attachment 4e) Modified 1 2 0 Form and Instruction 0920-1453
Ex Assessment CQM Recipient Interview Guide NCHP_ICHP (Attachment 4b) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment CQM Recipient Interview Guide_WW (Attachment 4c) Modified 2 3 0 Form and Instruction 0920-1453
Ex Assessment LC Interview Guide NCHP_ICHP (Attachment 4a) Modified 6 6 0 Form and Instruction 0920-1453
Ex Assessment TBC Partner Interview Guide NCHP_ICHP (Attachment 4h) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment TBC Partner Interview Guide_WW (Attachment 4i) Modified 1 2 0 Form and Instruction 0920-1453
Ex Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 4f) Modified 3 5 0 Form and Instruction 0920-1453
Ex Assessment TBC Recipient Interview Guide_WW (Attachment 4g) Modified 2 3 0 Form and Instruction 0920-1453
Total burden requested under this ICR: 316 484 0  
To view an IC, click on IC Title