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Information Collection

Provider Survey for the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISMe) Cooperative Agreement Program

IC 7622 under ICR 200104-0930-002 · OMB 0930-0220.

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Information Collection (IC) Details

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Provider Survey for the Primary Care Research in Substance Abuse and Mental Health Services for the Elderly (PRISMe) Cooperative Agreement Program
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

312 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 312 0 312 0 0 0
Annual IC Time Burden (Hours) 41 0 41 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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