PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Baseline survey & Identifying and contact information – participants
Removed
0
0
0
Other-Survey
Other-Identifying and contact information
Baseline survey & Identifying and contact information –staff
Removed
0
0
0
Other-Survey
Other-Identifying and contact information
Cost workbook – staff
Removed
0
0
0
Other-Workbook
First follow-up survey – participants
Removed
0
0
0
Other-Survey
In-depth participant interviews – participants
Removed
0
0
0
Other-Interview Guide
Program leadership survey – program leaders
Removed
0
0
0
Other-Survey
Second follow-up survey – participants
Modified
160
133
0
Other-Survey
Semi-structured employer discussion guide – employers
Removed
0
0
0
Other-Discussion Guide
Semi-structured program discussion guide - program staff and providers
Removed
0
0
0
Other-Discussion Guide
Semi-structured program discussion guide -program supervisors and partners
Removed
0
0
0
Other-Discussion Guide
Semi-structured program discussion guide –program leaders
Removed
0
0
0
Other-Discussion Guide
Service receipt tracking – staff
Removed
0
0
0
Other-
Staff characteristics survey – staff
Removed
0
0
0
Other-Survey
Total burden requested under this ICR:
160
133
0
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