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Protocols for the Cross-Site Process Evaluation of the State
Protocols for the Cross-Site Process Evaluation of the State
OMB: 0930-0226
IC ID: 37863
OMB.report
HHS/SAMHSA
OMB 0930-0226
ICR 200201-0930-002
IC 37863
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0226 can be found here:
2004-07-08 - Revision of a currently approved collection
Documents and Forms
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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Protocols for the Cross-Site Process Evaluation of the State
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
313
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
3 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
313
0
0
0
0
313
Annual IC Time Burden (Hours)
1,204
0
-2,408
0
0
3,612
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.