Ta-soc

Pretesting of Substance Abuse Prevention and Treatment and Mental Health Services Communications Messages

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0196 can be found here:

Documents and Forms

Document Name Document Type
Form SOC Interview Part TA-SOC Form and Instruction
SOC Interview Part SOC Interview Participants ATTACHMENT A FINAL.doc Form and Instruction
Focus Group Partic Focus Group Participants ATTACHMENT B FINAL.doc Form and Instruction
CMHI Interviews and Focus Group OMB Supporting Statement Final.doc Justification-SS IC Document
TransLet-1.doc Justification Letter IC Document

Information Collection (IC) Details

IC Title:	TA-SOC	Agency IC Tracking Number:

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	SOC Interview Participants	SOC Interview Participants	ATTACHMENT A FINAL.doc		Yes	Yes	Fillable Printable
Form and Instruction	Focus Group Participants	Focus Group Participants	ATTACHMENT B FINAL.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 96	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	144	144
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification-SS	CMHI Interviews and Focus Group OMB Supporting Statement Final.doc	02/12/2015
Justification Letter	TransLet-1.doc	02/12/2015

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