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
Form and Instruction 0920-1412
Health Equity Capacity Assessment Removed 0 0 0 Form and Instruction 0920-23AA
Key Informant Interview Evaluator Modified 13 13 0 Form and Instruction 0920-23AA
Form and Instruction 0920-1412
Key Informant Interview – Project Lead Modified 13 13 0 Form and Instruction 0920-23AA
Form and Instruction 0920-1412
Prevention Infrastructure Assessment Modified 3 2 0 Form and Instruction 0920-23AA
Form and Instruction 0920-1412
Total burden requested under this ICR: 42 158 0  
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