Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Council Interview New 47 47 0 Form and Instruction 1190-0021 Council Interview
Facilitator Interview New 47 47 0 Form and Instruction 1190-0021 Facilitator Interview
Fidelity Log New 8 8 0 Form and Instruction 1190-0021 Fidelity Log
L3 Evaluations Removed 0 0 0 Other-case study template
L3 Evaluations Interview Removed 0 0 0 Other-Interview
Participant Interview New 175 175 0 Form and Instruction 1190-0021 Participant Surveyt
Participant Survey New 950 238 0 Form and Instruction 1190-0021 Participant Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 1227 515 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title