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Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages
Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages
OMB: 0930-0196
IC ID: 179707
OMB.report
HHS/SAMHSA
OMB 0930-0196
ICR 200704-0930-007
IC 179707
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0196 can be found here:
2022-03-25 - Reinstatement without change of a previously approved collection
2016-08-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Justification and
Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages
Form and Instruction
OMBTranLet5.wpd
Instruction
Justification and Justification and Survey
Suicide-5-March30.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages
Agency IC Tracking Number:
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
Justification and Survey
Justification and Survey
Suicide-5-March30.doc
Yes
Yes
Paper Only
Instruction
OMBTranLet5.wpd
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11,700
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
11,700
0
0
0
0
0
Annual IC Time Burden (Hours)
9,290
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.