FSR 210 SAMHSA NCAID and Mental Health

Customer Satisfaction Measure of Government Websites

OMB: 1505-0186

IC ID: 181348

Information Collection (IC) Details

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FSR 210 SAMHSA NCAID and Mental Health FSR 210
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FSR 210 SAMHSA NCAID and Mental Health FSR 210 SAMSHA Mental Health and NCADI questionnaire.xls Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

5,000 0
   
Individuals or Households
 
   100 %

  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 5,000 0 0 0 0 0
Annual IC Time Burden (Hours) 208 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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