RSAF - Family Program Clinician

Recovery Serices for Adolescents and Families (RSAF)

Documents and Forms

Document Name Document Type
Form Family Program Cli RSAF - Family Program Clinician Form and Instruction
Family Program Cli Family Program Clinician Instruments Family Program Clinician Instruments.zip Form and Instruction

Information Collection (IC) Details

IC Title:	RSAF - Family Program Clinician	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	Family Program Clinician Instruments	Family Program Clinician Instruments	Family Program Clinician 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: 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 Agency Discretion
Annual Number of Responses for this IC	5,604	5,604
Annual IC Time Burden (Hours)	1,115	1,115
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.