Web Site Registration

Registration for Behavioral Health Web Site and Resources

OMB: 0930-0313

IC ID: 194259

Information Collection (IC) Details

View Information Collection (IC)

Web Site Registration
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment 2 - Screen Shot Web Registration Form Attachment 2 - Screen Shot Web Registration Form Attachment 2 - Screen shot of second Web registration form - Account Information.JPG Yes Yes Paper Only
Form and Instruction Attachment 1 - Screen Shot Web Registration Form Attachment 1 - Screen Shot Web Registration Form Attachment 1 - Screen shot of first Web registration form - Create Login.JPG No No Paper Only

Health Public Health Monitoring

 

41,200 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 41,200 0 41,200 0 0 0
Annual IC Time Burden (Hours) 1,360 0 1,360 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 4 - Questions and Values Attachment 4 - SAMHSA Data collection questions and Values_3_29_10.doc 08/05/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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