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
Form and Instruction 3 (revised)
Community of Practice Pre-Assessment Instrument Modified 180 52 0 Form and Instruction 2
Form and Instruction 2 (Revised)
Community of Practice Session Assessment Modified 1620 124 0 Form and Instruction 4
Form and Instruction 4 (Revised)
Foundational TA Assessment Modified 150 9 0 Form and Instruction 6
Form and Instruction 6 (Revised)
Pre-Conception Counseling Community of Practice Retrospective Pre-Post-Assessment Instrument Modified 90 43 0 Form and Instruction 1
Form and Instruction 1 (Revised)
Targeted and Intensive TA Assessment Modified 120 10 0 Form and Instruction 5
Form and Instruction 5 (Redline)
Total burden requested under this ICR: 2340 306 0  
To view an IC, click on IC Title