On-Line Tutorials

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form On-Line Tutorials On-Line Tutorials Form and Instruction
On-Line Tutorials On-Line Tutorials OMB Attachment A On-line Tutorials.docx Form and Instruction
Trans.Let-2-2014.doc Letter IC Document
OMB SupportingStatement-NCSACW.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	On-Line Tutorials	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	On-Line Tutorials	On-Line Tutorials	OMB Attachment A On-line Tutorials.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,850	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 Agency Discretion
Annual Number of Responses for this IC	1,850	1,850
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter	Trans.Let-2-2014.doc	09/29/2014
Supporting Statement	OMB SupportingStatement-NCSACW.docx	09/29/2014

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