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Adult Treatment Drug Court Cross-Site Evaluation - Interview Drug Court Personnel
Adult Treatment Drug Court Cross-Site Evaluation
OMB: 0930-0306
IC ID: 190674
OMB.report
HHS/SAMHSA
OMB 0930-0306
ICR 200909-0930-002
IC 190674
( )
Documents and Forms
Document Name
Document Type
Form Attachments A-F In
Adult Treatment Drug Court Cross-Site Evaluation - Interview Drug Court Personnel
Form and Instruction
Attachments A-F In Attachments A-F Instruments
Attachments A-F Instruments.zip
Form and Instruction
Attachments G-M.zip
Attachments G-M Other
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Adult Treatment Drug Court Cross-Site Evaluation - Interview Drug Court Personnel
Agency IC Tracking Number:
Is this a Common Form?
IC Status:
New
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
Form and Instruction
Attachments A-F Instruments
Attachments A-F Instruments
Attachments A-F Instruments.zip
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
160
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
80 %
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
320
0
320
0
0
0
Annual IC Time Burden (Hours)
80
0
80
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachments G-M Other
Attachments G-M.zip
09/08/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.