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GPRA Client Outcome
Government Performance and Results Act Client/Participant Outcome Measures
OMB: 0930-0208
IC ID: 187484
OMB.report
HHS/SAMHSA
OMB 0930-0208
ICR 202208-0930-003
IC 187484
( )
Documents and Forms
Document Name
Document Type
Form CSAT GPRA Tool
GPRA Client Outcome
Form and Instruction
CSAT GPRA Tool CSAT GPRA Tool
CSAT GPRA Tool Re-Draft CLEAN_12-03-2021.docx
Form and Instruction
CSAT GPRA Tool CSAT GPRA Tool
CSAT GPRA Tool Re-Draft CLEAN_12-03-2021.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
GPRA Client Outcome
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
CSAT GPRA Tool
CSAT GPRA Tool
CSAT GPRA Tool Re-Draft CLEAN_12-03-2021.docx
Yes
Yes
Fillable Fileable
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:
1,269,495
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
1,269,495
0
0
0
0
1,269,495
Annual IC Time Burden (Hours)
379,037
0
0
0
0
379,037
Annual IC Cost Burden (Dollars)
0
0
0
0
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.