Information Collection

Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women

IC 6574 under ICR 199707-0917-001 · OMB 0917-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 790

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,182	3,182
Annual IC Time Burden (Hours)	1,799	1,799
Annual IC Cost Burden (Dollars)	492,980,000	492,980,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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