Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Community of Practice Post-Assessment Modified 180 68 0 Form and Instruction 3 Community of Practice Post-Assessment
Form and Instruction 3 (revised) Community of Practice Post-Assessment
Community of Practice Pre-Assessment Instrument Modified 180 52 0 Form and Instruction 2 Community of Practice Pre-Assessment
Form and Instruction 2 (Revised) Community of Practice Pre-Assessment
Community of Practice Session Assessment Modified 1620 124 0 Form and Instruction 4 Community of Practice Session Assessment
Form and Instruction 4 (Revised) Community of Practice Session Assessment
Foundational TA Assessment Modified 150 9 0 Form and Instruction 6 Foundational TA Assessment
Form and Instruction 6 (Revised) Foundational TA Assessment
Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument Modified 90 43 0 Form and Instruction 1 Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment
Form and Instruction 1 (Revised) Pre-conception Counseling Community of Practice Retrospective Pretest-Post Assessment
Targeted and Intensive TA Assessment Modified 120 10 0 Form and Instruction 5 Targeted and Intensive TA Assessment
Form and Instruction 5 (Redline) Targeted and Intensive TA Assessment
Total burden requested under this ICR: 2340 306 0  
To view an IC, click on IC Title