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RSAF - Project Coordinator
Recovery Serices for Adolescents and Families (RSAF)
OMB: 0930-0311
IC ID: 191558
OMB.report
HHS/SAMHSA
OMB 0930-0311
ICR 201003-0930-002
IC 191558
( )
Documents and Forms
Document Name
Document Type
Form Project Coordinato
RSAF - Project Coordinator
Form and Instruction
Project Coordinato Project Coordinator Instruments
Project Coordinator Instruments.zip
Form and Instruction
Project Coordinator Other Attachments.zip
Project Coordinator Other
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
RSAF - Project Coordinator
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Project Coordinator Instruments
Project Coordinator Instruments
Project Coordinator 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:
4
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
1,204
0
1,204
0
0
0
Annual IC Time Burden (Hours)
261
0
261
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Project Coordinator Other
Project Coordinator Other Attachments.zip
03/02/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.