Information Collection

MI/SP Counselor Attitudes Questionnaire

IC 205812 under ICR 201606-0930-003 · OMB 0930-0274.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attitudes Question MI/SP Counselor Attitudes Questionnaire	Form and Instruction
Attitudes Question Attitudes Questionnaire Attachment E_Counselor Attitudes Questionnaire.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attitudes Questionnaire	Attitudes Questionnaire	Attachment E_Counselor Attitudes Questionnaire.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-250	250
Annual IC Time Burden (Hours)	-63	63
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.