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In-Person Interviews
The SOAR Evaluation
OMB: 0930-0322
IC ID: 195902
OMB.report
HHS/SAMHSA
OMB 0930-0322
ICR 201101-0930-002
IC 195902
( )
Documents and Forms
Document Name
Document Type
Form Interviews and sur
In-Person Interviews
Form and Instruction
Interviews and sur Interviews and survey-instruments
Interviews and Survey Instruments.pdf
Form and Instruction
In-person training In-person training material-instruments
In Person Training Material-Instruments.pdf
Form and Instruction
Interviews and Survey-Other.pdf
Interviews and Survey-Other
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
In-Person Interviews
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
Interviews and survey-instruments
Interviews and survey-instruments
Interviews and Survey Instruments.pdf
Yes
Yes
Paper Only
Form and Instruction
In-person training material-instruments
In-person training material-instruments
In Person Training Material-Instruments.pdf
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:
120
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
360
0
360
0
0
0
Annual IC Time Burden (Hours)
61
0
61
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Interviews and Survey-Other
Interviews and Survey-Other.pdf
04/07/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.