Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Instrument 1: Pilot staff discussion guide - Data specialists New 12 12 0 Other-Discussion Guide
Instrument 1: Pilot staff discussion guide - Local-level leadership staff New 240 360 0 Other-Discussion Guide
Instrument 1: Pilot staff discussion guide - State-level leadership staff New 60 90 0 Other-Discussion Guide
Instrument 1: Pilot staff discussion guide - Supervisors New 240 240 0 Other-Discussion Guide
Instrument 1: Pilot staff discussion guide - Supervisors New 120 120 0 Other-Discussion Guide
Instrument 2: Leadership survey - Local-level leadership staff New 200 66 0 Other-Survey
Instrument 2: Leadership survey - Supervisors New 200 66 0 Other-Survey
Instrument 3: Staff survey New 856 282 0 Other-Survey
Instrument 4: Staff time use survey New 3852 655 0 Other-Survey
Instrument 5: Pilot costs and resources workbook - Local-level leadership staff New 6 24 0 Other-Workbook
Instrument 5: Pilot costs and resources workbook - State-level leadership staff New 6 24 0 Other-Workbook
Instrument 6: In-depth participant interview guide New 20 25 0 Other-Interview Guide
Instrument 7. 12-month post-TANF-exit survey New 600 450 0 Other-Survey (English Version)
Other-Survey (Spanish Version)
Total burden requested under this ICR: 6412 2414 0  
To view an IC, click on IC Title