Information Collection Request

Procedural Justice Informed Alternative to Contemp (PJAC)

ICR 201708-0970-002 · OMB 0970-0505 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Participant Interview Topic Guide Form and Instruction New Available
Form 1 Staff Interview Topic Guide Form and Instruction New Available
Form 1 Study MIS Form and Instruction New Available
Form 1 Staff Data Entry Form and Instruction New Available
PJAC Supporting Statement B.docx Supporting Statement B Uploaded 2017-08-11 Available
PJAC Supporting Statement A.doc Supporting Statement A Uploaded 2017-08-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
227875 Participant survey tracking letter Instruction New
227874 Participant interview topic guide Form and Instruction NewParticipant Interview Topic Guide
227873 Staff and community partner interview topic guide Form and Instruction NewStaff Interview Topic Guide
227872 Study MIS to track program participation Form and Instruction NewStudy MIS
227871 Staff data entry for random assignment Form and Instruction NewStaff Data Entry

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2021 36 Months From Approved
15,160 0 0
6,760 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Participant interview topic guide 1
Participant survey tracking letter
Staff and community partner interview topic guide 1
Staff data entry for random assignment 1
Study MIS to track program participation 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15,160 0 0 15,160 0 0
Annual Time Burden (Hours) 6,760 0 0 6,760 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No