Policy Academy Coach Post Coaching Form

Survey of State Underage Drinking Prevention Policies, Programs, and Practices

Documents and Forms

Document Name Document Type
Form Policy Academy Coa Policy Academy Coach Post Coaching Form Form and Instruction
Policy Academy Coa Policy Academy Coach Post Coaching Form Policy Academy Coach Post-Coaching Call Form.docx Form and Instruction
Policy Academy Coa Policy Academy Coach Post Coaching Form Policy Academy Coach Post-Coaching Call Form.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Policy Academy Coach Post Coaching Form	Agency IC Tracking Number:

Is this a Common Form? No		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	Policy Academy Coach Post Coaching Form	Policy Academy Coach Post Coaching Form	Policy Academy Coach Post-Coaching Call Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	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	231	231
Annual IC Time Burden (Hours)	39	39
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.