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Web Site Registration Survey
SAMHSA’s Publications and Digital Products Website Registration Survey
OMB: 0930-0313
IC ID: 194259
OMB.report
HHS/SAMHSA
OMB 0930-0313
ICR 202301-0930-004
IC 194259
( )
Documents and Forms
Document Name
Document Type
Form Web Site Registrat
Web Site Registration Survey
Form and Instruction
Web Site Registrat Web Site Registration Survey Questions
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx
Form and Instruction
Web Site Registrat Web Site Registration Survey Questions
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.docx
Form and Instruction
(Attachment 2) SAMHSA Main site v3 Survey_10.3.22_.docx
(Attachment 2) SAMHSA Main site v3 Survey
IC Document
(Attachment 2) SAMHSA Main site v3 Survey_10.3.22_.docx
(Attachment 2) SAMHSA Main site v3 Survey
IC Document
(Attachment 3) SAMHSA Store v2 Survey_10.3.22_.docx
(Attachment 3) SAMHSA Store v2 Survey
IC Document
(Attachment 3) SAMHSA Store v2 Survey_10.3.22_.docx
(Attachment 3) SAMHSA Store v2 Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Web Site Registration Survey
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
Web Site Registration Survey Questions
Web Site Registration Survey Questions
(Attachment 1) SAMHSA_Web Site Registration Survey Questions_10.3.22_.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:
21,082
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
21,082
0
0
0
0
21,082
Annual IC Time Burden (Hours)
696
0
0
0
0
696
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
(Attachment 2) SAMHSA Main site v3 Survey
(Attachment 2) SAMHSA Main site v3 Survey_10.3.22_.docx
01/23/2023
(Attachment 3) SAMHSA Store v2 Survey
(Attachment 3) SAMHSA Store v2 Survey_10.3.22_.docx
01/23/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.