Adult Treatment Drug Court Cross-Site Evaluation - Correction MH Screener for Men

Adult Treatment Drug Court Cross-Site Evaluation

Documents and Forms

Document Name Document Type
Form Attachments A-F In Adult Treatment Drug Court Cross-Site Evaluation - Correction MH Screener for Men 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

IC Title:	Adult Treatment Drug Court Cross-Site Evaluation - Correction MH Screener for Men	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

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 408	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 Agency Discretion
Annual Number of Responses for this IC	408	408
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	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.