Court Personnel

Community Support Evaluation

Documents and Forms

Document Name Document Type
Form SLA KII Court Pers Court Personnel Form and Instruction
SLA KII Court Pers SLA KII Court Personnel Version Attachment B_SLA KII Court Personnel Version (Y2-Y4).docx Form and Instruction
Attachment P_SLA KII Verbal Consent Script.docx SLA KII Verbal Consent Script IC Document

Information Collection (IC) Details

IC Title:	Court Personnel	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 and Instruction	SLA KII Court Personnel Version	SLA KII Court Personnel Version	Attachment B_SLA KII Court Personnel Version (Y2-Y4).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	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	23	23
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SLA KII Verbal Consent Script	Attachment P_SLA KII Verbal Consent Script.docx	03/10/2016

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