OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Venue Brief Intercept Interview

IC 181804 under ICR 200708-0920-002 · OMB 0920-0760.

Documents and Forms
Document Name
Document Type
Other-Venue Brief Intercept Intervie
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Venue Brief Intercept Interview
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Venue Brief Intercept Interview APPENDIX 5 venue interview.doc Yes Yes Printable Only

Health Public Health Monitoring

 

125 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 125 0 125 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Verbal Consent Script APPENDIX 3-1 venue intercept consent .doc 07/23/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.