Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Clinicians/Providers Unchanged 1440 360 0 Form and Instruction Consumer Study Interest Form Consumer Study Interest Form
Consumer Modified 5958 2383 0 Form and Instruction Consumer Study Interest Form Consumer Study Interest Form
Form and Instruction Consumer Key Informant Interview Consumer Key Informant Interview
Form and Instruction Consumer Experience Survey Consumer Experience Survey
Grantee/Healthcare Organization Administrator Modified 168 99 0 Form and Instruction Behavioral Health Provider Survey Behavioral Health Provider Survey
Form and Instruction Key Informant Interview Case Study Key Informant Interview Case Study
Form and Instruction Key Informant Interview Cost Study Key Informant Interview Cost Study
Healthcare Organization Staff Modified 66010 17163 0 Form and Instruction Training Utilization and Preservation 6/12 month Training Utilization and Preservation 6/12 month
Form and Instruction Training Utilization and Preservation Baseline Training Utilization and Preservation Baseline
Form and Instruction Key Informant Interview Case Study Key Informant Interview Case Study
Form and Instruction Workforce Survey Workforce Survey
Project Evaluator Unchanged 1120 515 0 Form and Instruction Prevention Strategies Inventory Prevention Strategies Inventory
Form and Instruction Training Activity Summary Page Training Activity Summary Page
Total burden requested under this ICR: 74696 20520 0  
To view an IC, click on IC Title