OMB
.report
Search
Prevention of Methamphetamine Abuse
Prevention of Methamphetamine Abuse
OMB: 0930-0293
IC ID: 185218
OMB.report
HHS/SAMHSA
OMB 0930-0293
ICR 200806-0930-001
IC 185218
( )
Documents and Forms
Document Name
Document Type
Form Attachment 2 - You
Prevention of Methamphetamine Abuse
Form and Instruction
Attachment 2 - You Attachment 2 - Youth Survey
2--METH Youth Survey 2-22-08.doc
Form and Instruction
Attachment 3 - Adu Attachment 3 - Adult Survey
3-METH Adult Survey.doc
Form and Instruction
1-METH DACCC-DITIC Statement of Personal Commitment.doc
Attachment 1 - Statements of Personal Commitment
IC Document
4-Meth Youth Admin Guide.doc
Attachment 4 - Youth Administration Guide
IC Document
5--Meth Adult Admin Guide.doc
Attachment 5 - Adult Administration Guide
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Prevention of Methamphetamine Abuse
Agency IC Tracking Number:
Is this a Common Form?
No
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
Attachment 2 - Youth Survey
Attachment 2 - Youth Survey
2--METH Youth Survey 2-22-08.doc
Yes
Yes
Paper Only
Form and Instruction
Attachment 3 - Adult Survey
Attachment 3 - Adult Survey
3-METH Adult Survey.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,080
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
7,080
0
7,080
0
0
0
Annual IC Time Burden (Hours)
5,876
0
5,876
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1 - Statements of Personal Commitment
1-METH DACCC-DITIC Statement of Personal Commitment.doc
05/30/2008
Attachment 4 - Youth Administration Guide
4-Meth Youth Admin Guide.doc
05/30/2008
Attachment 5 - Adult Administration Guide
5--Meth Adult Admin Guide.doc
05/30/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.