Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Performance Report Modified 13 130 0 Form and Instruction 0920-23AA Att. 3a APR Tool
Form and Instruction 0920-1412 APR Tool - 11JUL2025
Health Equity Capacity Assessment Removed 0 0 0 Form and Instruction 0920-23AA Att. 6a Health Equity Capacity Assessment Updated
Key Informant Interview Evaluator Modified 13 13 0 Form and Instruction 0920-23AA Att. 4b Key Informant Interview Protocol - Evaluator
Form and Instruction 0920-1412 Key Informant Interview Protocol - Evaluator - 11JUL2025
Key Informant Interview – Project Lead Modified 13 13 0 Form and Instruction 0920-23AA Att. 4a Key Informant Interview Protocol - Project Lead
Form and Instruction 0920-1412 Key Informant Interview Protocol - Project Lead - 11JUL2025
Prevention Infrastructure Assessment Modified 3 2 0 Form and Instruction 0920-23AA Att. 5a Prevention Infrastructure Assessment Tool Updated
Form and Instruction 0920-1412 Prevention Infrastructure Assessment Tool - 11JUL2025
Total burden requested under this ICR: 42 158 0  
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