Information Collection

Post Behavioral Health Data Users Conference Satisfaction Survey

IC 203873 under ICR 201103-0930-003 · OMB 0930-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Data Users Satisfa Post Behavioral Health Data Users Conference Satisfaction Survey	Form
Data Users Satisfa Data Users Satisfaction Survey Attachment 1 (Post Behavioral Health Data Users Conference Satisfaction Survey).docx	Form
SAMHSA Customer Satisfaction Survey (Post Behavioral Health Data Users Conference Satisfaction Survey).docx Justification	IC Document
Trans.Let-6-2012.doc Letter	IC Document

IC Title:

Post Behavioral Health Data Users Conference Satisfaction Survey

Agency IC Tracking Number:

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	Data Users Satisfaction Survey	Data Users Satisfaction Survey	Attachment 1 (Post Behavioral Health Data Users Conference Satisfaction Survey).docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	SAMHSA Customer Satisfaction Survey (Post Behavioral Health Data Users Conference Satisfaction Survey).docx	08/21/2012
Letter	Trans.Let-6-2012.doc	08/21/2012

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