Co-Occurring Disorders Integration and Innovation (CODI)

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

OMB: 0930-0197

IC ID: 194863

Information Collection (IC) Details

View Information Collection (IC)

Co-Occurring Disorders Integration and Innovation (CODI)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Formative Survey Formative Survey Appendix A-Formative Survey 10-6-10 sg sts.doc Yes Yes Paper Only
Form and Instruction Satisfaction Survey Satisfaction Survey Appendix B-Satisfaction Survey 10-6-10 sg sts.doc Yes Yes Paper Only
Form and Instruction Impact Survey Impact Survey Appendix C-Impact Survey 9-3-10 sg sts.doc Yes Yes Paper Only
Form and Instruction Satisfaction Survey Satisfaction Survey Appendix B-Satisfaction Survey 11-1-10.docx Yes Yes Paper Only
Form and Instruction Formative Survey Formative Survey Appendix A-Formative Survey 11-1-2010.docx Yes Yes Paper Only
Form and Instruction LC Survey LC Survey Appendix C-LC Survey 11-3-10.docx Yes Yes Paper Only

Health Public Health Monitoring

 

2,985 0
   
State, Local, and Tribal Governments
 
   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 2,985 0 0 0 0 0
Annual IC Time Burden (Hours) 241 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification CODI OMB Justification Document sg sts 20100916.doc 10/08/2010
Memo Trans.Let-15-2010.doc 10/08/2010
Justification CODI OMB Justification Document 11-3-2010.docx 11/04/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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