Information Collection Request

National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network

ICR 201002-0930-001 · OMB 0930-0216 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Event Description ATTC - Event Description Form Form and Instruction Modified Available
Form Follow-up Form ATTC - Training Follow-up Form and Instruction Modified Available
Form 2.4 CSAT Customer ATTC Form and Instruction Removed Repair queued
Form Post Event Forms ATTC - Training - Post Event Form and Instruction Modified Available
Form Post Event Forms ATTC - TA - Post Event Form and Instruction Modified Repair queued
Attachment.11.Statement.of.Informed.Consent(2).doc Supplementary Document Uploaded 2010-04-19 Available
Attachment.10.Contact.Information.Form(2).doc Supplementary Document Uploaded 2010-04-19 Repair queued
Attachment.9.Model.Statement.doc Supplementary Document Uploaded 2010-04-13 Available
Attachment.8.Cover.page.for.instruments(2).doc Supplementary Document Uploaded 2010-04-19 Available
Attachment.7.Sample.Cover.Letters(2).doc Supplementary Document Uploaded 2010-04-19 Available
Attachment.6.ATTC.Regional.Centers.doc Supplementary Document Uploaded 2010-04-13 Available
Attachment.5.Summary.of.Revisions.doc Supplementary Document Uploaded 2010-04-13 Available
OMBSupporting Statement 4-7-10.doc Supporting Statement B Uploaded 2010-04-08 Available
Other.zip Supplementary Document Uploaded 2010-01-27 Available
Terms-06-Report.doc Supplementary Document Uploaded 2006-12-28 Available
Terms-06-Memo.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 8 Statement of Informed Consent for Followup.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 7 Contact Information Form.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 6 Model Statement.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 5 Cover page for instruments.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 4 Sample Cover Letters.doc Supplementary Document Uploaded 2006-12-28 Available
Attachment 3 ATTC Network Regional Centers.doc Supplementary Document Uploaded 2006-12-28 Available
Other.zip Supplementary Document Uploaded 2010-01-27 Available
Other.zip Supplementary Document Uploaded 2010-01-27 Available
Other.zip Supplementary Document Uploaded 2010-01-27 Available
OMBSupporting Statement 4-7-10.doc Supporting Statement A Uploaded 2010-04-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
7618 ATTC - Event Description Form Form and Instruction Modified
46705 ATTC - Training Follow-up Form and Instruction Modified
46704 ATTC Form and Instruction Removed
46703 ATTC - Training - Post Event Form and Instruction Modified
46701 ATTC - TA - Post Event Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2013 36 Months From Approved 04/30/2010
42,750 0 63,950
6,663 0 9,200
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
ATTC - Event Description Form Event Description Form Event Description Form
ATTC - TA - Post Event Post Event Forms, GPRA Post Event Forms ,   GPRA
ATTC - Training - Post Event Post Event Forms Post Event Forms
ATTC - Training Follow-up Follow-up Form Follow-up Form
ATTC 1.4 ATTC Post Event Cust Sat Survey Training, 2.4 CSAT Customer Sat Survey TA Follow-up, 1.5 ATTC Follow-up Event Cust Sat Survey Training, 2.1 CSAT Customer Sat Survey Meeting, 2.2 CSAT Customer Sat Survey Meeting Follow-up, 2.3 CSAT Customer Sat Survey TA, 2.5 CSAT Customer Sat Survey Training, 2.6 CSAT Customer Sat Survey Training Follow-up, 1.1 ATTC Event Description Form, 1.2 ATTC Pre-Event Form Meetings & TA, 1.3 ATTC Pre-Event Form Training CSAT Customer Sat Survey TA Follow-up ,   ATTC Follow-up Event Cust Sat Survey Training ,   CSAT Customer Sat Survey Meeting ,   CSAT Customer Sat Survey Meeting Follow-up ,   CSAT Customer Sat Survey TA ,   CSAT Customer Sat Survey Training ,   CSAT Customer Sat Survey Training Follow-up ,   ATTC Event Description Form ,   ATTC Pre-Event Form Meetings & TA ,   ATTC Pre-Event Form Training ,   ATTC Post Event Cust Sat Survey Training

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 42,750 63,950 0 -21,200 0 0
Annual Time Burden (Hours) 6,663 9,200 0 -2,537 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No