SBIRT Organizational Readiness and Satisfaction 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: 214917

Information Collection (IC) Details

View Information Collection (IC)

SBIRT Organizational Readiness and Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SBIRT Organizational Readiness and Satisfaction Su SBIRT Organizational Readiness and Satisfaction Survey Survey SBIRT Organizational Readiness and Satisfaction Survey 2-5-15.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

410 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 410 0 410 0 0 0
Annual IC Time Burden (Hours) 62 0 62 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification SS SBIRT Organizational Readiness and Satisfaction Survey_2_5_15.doc 02/09/2015
Letter Trans.Let-4-2014.doc 02/09/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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