Information Collection Request

Rapid Uptake of Disseminated Interventions (RUDI) Evaluation

ICR 202310-0906-001 · OMB 0906-0079 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5 AETC Provider Interviews Form and Instruction New Available
Form 5 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction New Available
Form 4 RWHAP Recipient Interviews (Large and Small Sites) Form and Instruction New Available
Form 4 Appendix_D_RUDI_A_B_Admin_Recipient_Discussion_Guide Form and Instruction New Available
Form 3 RUDI – Recipient Survey Form and Instruction New Available
Form 3 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction New Available
Form 2 Virtual site visit interviews Form and Instruction New Available
Form 2 Appendix_C_RUDI_Provider_Subrecipient_Discussion_Guide Form and Instruction New Available
Form 1 RUDI - Provider Survey Form and Instruction New Available
Form 1 Appendix_A_RUDI_Provider_Subrecipient_Survey Form and Instruction New Available
RUDI Draft OMB Package Supp Statement A Post Pilot FINAL.docx Supporting Statement A Uploaded 2023-10-27 Available
Appendix_G_RUDI_Interview_Correspondence.docx Supplementary Document Uploaded 2023-10-25 Available
Appendix_F_RUDI_Survey_Correspondence.docx Supplementary Document Uploaded 2023-10-25 Available
RUDI Draft OMB Package Supp Statement B Post Pilot FINAL.docx Supporting Statement B Uploaded 2023-10-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
263058 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction NewAETC Provider Interviews
263058 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction New
263057 Appendix_D_RUDI_A_B_Admin_Recipient_Discussion_Guide Form and Instruction NewRWHAP Recipient Interviews (Large and Small Sites)
263057 Appendix_D_RUDI_A_B_Admin_Recipient_Discussion_Guide Form and Instruction New
263056 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction NewRUDI – Recipient Survey
263056 Appendix_B_RUDI_Part_A_B_Recipient_Survey Form and Instruction New
263055 Appendix_C_RUDI_Provider_Subrecipient_Discussion_Guide Form and Instruction NewVirtual site visit interviews
263055 Appendix_C_RUDI_Provider_Subrecipient_Discussion_Guide Form and Instruction New
263054 Appendix_A_RUDI_Provider_Subrecipient_Survey Form and Instruction NewRUDI - Provider Survey
263054 Appendix_A_RUDI_Provider_Subrecipient_Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2027 36 Months From Approved
1,343 0 0
591 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Appendix_A_RUDI_Provider_Subrecipient_Survey 1
Appendix_B_RUDI_Part_A_B_Recipient_Survey 3
Appendix_B_RUDI_Part_A_B_Recipient_Survey 5
Appendix_C_RUDI_Provider_Subrecipient_Discussion_Guide 2
Appendix_D_RUDI_A_B_Admin_Recipient_Discussion_Guide 4

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 1,343 0 0 1,343 0 0
Annual Time Burden (Hours) 591 0 0 591 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No