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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Jail Diversion and Trauma Recovery- Priority to Veterans Program Evaluation	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	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 %

	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

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.