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Evaluation Of Treatment Of Drug And Alcohol Dependent Patients

IC 174603 under ICR 198002-2900-010 · OMB 2900-0256.

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EVALUATION OF TREATMENT OF DRUG AND ALCOHOL DEPENDENT PATIENTS
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10-7984- No No
Form A-G No No


    

2,600 0
   
Individuals or Households
 
   0 %

  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 69,860 0 0 0 0 69,860
Annual IC Time Burden (Hours) 19,930 0 0 0 0 19,930
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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