Sais

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

OMB: 0930-0197

IC ID: 181720

Information Collection (IC) Details

View Information Collection (IC)

SAIS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OAS #1 OAS Survey 0930-0197 OAS-Survey.doc Yes No Fillable Printable
Form and Instruction SAIS Surveys and Letters SAIS Surveys and Letters 1 Attachments v2 (2).doc Yes Yes Paper Only

Health Public Health Monitoring

 

30,150 0
   
Individuals or Households
 
   10 %

  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 30,150 0 0 0 0 0
Annual IC Time Burden (Hours) 15,075 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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