Colorado Alliance for Drug Endangered Children Survey Instrument

Colorado Drug Endangered Children, Inc. (CODEC) Drug Endangered Children Tracking System (DECSYS)

Documents and Forms

Document Name Document Type
Colorado Alliance for Drug Endangered Children Survey Instrument Form
Colorado Alliance for Drug Endangered Children Survey In Evaluation Survey Instrument for DECSYS Users 2013 09 17.docx Form

Information Collection (IC) Details

IC Title:	Colorado Alliance for Drug Endangered Children Survey Instrument	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	N/A	Colorado Alliance for Drug Endangered Children Survey Instrument	Evaluation Survey Instrument for DECSYS Users 2013 09 17.docx		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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