The Grant Applicant and the The Grant Reviewer Surveys

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Document Name Document Type
Form Grant Applicant Su The Grant Applicant and the The Grant Reviewer Surveys Form and Instruction
Grant Applicant Su Grant Applicant Survey 090729_SAMHSA_Applicant Survey_Submitted.doc Form and Instruction
Grant Reviewer Sur Grant Reviewer Survey 090729_SAMHSA_Reviewer Survey_Submitted.doc Form and Instruction
090729_SAMHSA_OMB Justification_Submitted.doc Supporting Statement - Justification IC Document
OMBTransLet7-2009.wpd Memo IC Document

Information Collection (IC) Details

IC Title:	The Grant Applicant and the The Grant Reviewer Surveys	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	Grant Applicant Survey	Grant Applicant Survey	090729_SAMHSA_Applicant Survey_Submitted.doc		Yes	Yes	Paper Only
Form and Instruction	Grant Reviewer Survey	Grant Reviewer Survey	090729_SAMHSA_Reviewer Survey_Submitted.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 236	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	236	0	0	0	0	0
Annual IC Time Burden (Hours)	40	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement - Justification	090729_SAMHSA_OMB Justification_Submitted.doc	07/29/2009
Memo	OMBTransLet7-2009.wpd	07/29/2009

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