Project EVOLVE Feedback Survey

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

OMB: 0930-0197

IC ID: 206910

Information Collection (IC) Details

View Information Collection (IC)

Project EVOLVE Feedback Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Feedback Survey Feedback Survey SurveyMonkeyQuestions.jpg Yes Yes Fillable Fileable

Health Illness Prevention

 

700 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 700 0 0 0 0 0
Annual IC Time Burden (Hours) 56 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification SAMHSA Customer Satisfaction Survey-EVOLVE 6.13.13.docx 05/13/2013
Letter Trans.Let-8-2012.doc 05/13/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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