Information Collection

Jail Diversion and Trauma Recovery- Priority to Veterans Program Evaluation

IC 191544 under ICR 200912-0930-002 · OMB 0930-0310.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Semi-Annual Progre Jail Diversion and Trauma Recovery- Priority to Veterans Program Evaluation	Form and Instruction
Semi-Annual Progre Semi-Annual Progress Report Attachement 1_JDTR SAPR Instrument.doc	Form and Instruction
Attachment2_ElectronicReminder.doc Reminder	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Semi-Annual Progress Report	Semi-Annual Progress Report	Attachement 1_JDTR SAPR Instrument.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	315	315
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Reminder	Attachment2_ElectronicReminder.doc	12/07/2009

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