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 Cost Study – Partner Interview Guide
Comprehensive Evaluation Resource Use and Cost Inventory Tool_Recipient (Attachment 5a) Unchanged 37 93 0 Form and Instruction 0920-24FI Comprehensive Evaluation Resource Use and Cost Inventory Tool (Recipient)
Cost Study Interview Guide_Partner (Attachment 5d) Modified 55 55 0 Form and Instruction 0920-1453 Att 5d. Cost Study_Interview Guide_Partners_rev 2025
Cost Study Interview Guide_Recipient (Attachment 5c) Unchanged 37 37 0 Form and Instruction 0920-24FI Cost Study – Recipient Interview Guide
Eval Assessment CCL Partner Interview Guide NCHP_ICHP (Attachment 3n) Modified 6 9 0 Form and Instruction 0920-1453 Att 3n. Eval Assessment_CCL_Partner_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment CCL Partner Interview Guide WW (Attachment 3o) Modified 3 5 0 Form and Instruction 0920-1453 Att 3o. Eval Assessment_CCL_Partner_Interview Guide_WW_rev 2025
Eval Assessment CCL Recipient Interview Guide NCHP_ICHP (Attachment 3l) Modified 3 5 0 Form and Instruction 0920-1453 Att 3l. Eval Assessment_CCL_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment CCL Recipient Interview Guide WW (Attachment 3m) Modified 3 5 0 Form and Instruction 0920-1453 Att 3m. Eval Assessment_CCL_Recipient_Interview Guide_WW_rev 2025
Eval Assessment CQM Partner Interview Guide NCHP_ICHP (Attachment 3f) Modified 6 9 0 Form and Instruction 0920-1453 Att 3f. Eval Assessment_CQM_Partner_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment CQM Partner Interview Guide WW (Attachment 3g) Modified 3 5 0 Form and Instruction 0920-1453 Att 3g. Eval Assessment_CQM_Partner_Interview Guide_WW_rev 2025
Eval Assessment CQM Recipient Interview Guide NCHP_ICHP (Attachment 3d) Modified 6 9 0 Form and Instruction 0920-1453 Att 3d. Eval Assessment_CQM_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment CQM Recipient Interview Guide WW (Attachment 3e) Modified 3 5 0 Form and Instruction 0920-1453 Att 3e. Eval Assessment_CQM_Recipient_Interview Guide_WW_rev 2025
Eval Assessment LC Interview Guide_NCHP_ICHP (Attachment 3c) Modified 12 12 0 Form and Instruction 0920-1453 Att 3c. Eval Assessment_LC_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment TBC Partner Interview Guide NCHP_ICHP (Attachment 3j) Modified 6 9 0 Form and Instruction 0920-1453 Att 3j. Eval Assessment_TBC_Partner_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment TBC Partner Interview Guide WW (Attachment 3k) Modified 3 5 0 Form and Instruction 0920-1453 Att 3k. Eval Assessment_TBC_Partner_Interview Guide_WW_rev 2025
Eval Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 3h) Modified 6 9 0 Form and Instruction 0920-1453 Att 3h. Eval Assessment_TBC_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Eval Assessment TBC Recipient Interview Guide WW (Attachment 3i) Modified 3 5 0 Form and Instruction 0920-1453 Att 3i. Eval Assessment_TBC_Recipient_Interview Guide_WW_rev 2025
Evaluability Assessment Nomination Form_NCHP_ICHP (Attachment 3a) Modified 24 12 0 Form and Instruction 0920-1453 Att 3a. Evaluability Assessment Nomination Form_NCHP_ICHP_rev 2025
Evaluability Assessment Nomination Form_WW (Attachment 3b) Modified 12 6 0 Form and Instruction 0920-1453 Att 3b. Evaluability Assessment Nomination Form_WW_rev 2025
Ex Assessment CCL Partner Interview Guide NCHP_ICHP (Attachment 4l) Modified 3 5 0 Form and Instruction 0920-1453 Att 4l. Ex Assessment_CCL_Partner_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment CCL Partner Interview Guide_WW (Attachment 4m) Modified 1 2 0 Form and Instruction 0920-1453 Att 4m. Ex Assessment_CCL_Partner_Interview Guide_WW_rev 2025
Ex Assessment CCL Recipient Interview Guide NCHP_ICHP (Attachment 4j) Modified 3 5 0 Form and Instruction 0920-1453 Att 4j. Ex Assessment_CCL_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment CCL Recipient Interview Guide_WW (Attachment 4k) Modified 2 3 0 Form and Instruction 0920-1453 Att 4k. Ex Assessment_CCL_Recipient_Interview Guide_WW_rev 2025
Ex Assessment CQM Partner Interview Guide NCHP_ICHP (Attachment 4d) Modified 3 5 0 Form and Instruction 0920-1453 Att 4d. Ex Assessment_CQM_Partner_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment CQM Partner Interview Guide_WW (Attachment 4e) Modified 1 2 0 Form and Instruction 0920-1453 Att 4e. Ex Assessment_CQM_Partner_Interview Guide_WW_rev 2025
Ex Assessment CQM Recipient Interview Guide NCHP_ICHP (Attachment 4b) Modified 3 5 0 Form and Instruction 0920-1453 Att 4b. Ex Assessment_CQM_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment CQM Recipient Interview Guide_WW (Attachment 4c) Modified 2 3 0 Form and Instruction 0920-1453 Att 4c. Ex Assessment_CQM_Recipient_Interview Guide_WW_rev 2025
Ex Assessment LC Interview Guide NCHP_ICHP (Attachment 4a) Modified 6 6 0 Form and Instruction 0920-1453 Att 4a. Ex Assessment_LC_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment TBC Partner Interview Guide NCHP_ICHP (Attachment 4h) Modified 3 5 0 Form and Instruction 0920-1453 Att 4h. Ex Assessment_TBC_Partner_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment TBC Partner Interview Guide_WW (Attachment 4i) Modified 1 2 0 Form and Instruction 0920-1453 Att 4i. Ex Assessment_TBC_Partner_Interview Guide_WW_rev 2025
Ex Assessment TBC Recipient Interview Guide NCHP_ICHP (Attachment 4f) Modified 3 5 0 Form and Instruction 0920-1453 Att 4f. Ex Assessment_TBC_Recipient_Interview Guide_NCHP_ICHP_rev 2025
Ex Assessment TBC Recipient Interview Guide_WW (Attachment 4g) Modified 2 3 0 Form and Instruction 0920-1453 Att 4g. Ex Assessment_TBC_Recipient_Interview Guide_WW_rev 2025
Total burden requested under this ICR: 316 484 0  
To view an IC, click on IC Title