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Participants - Training Follow-up
National Cross-Site Assessment of Addiction Technology Transfer Centers (ATTC) Network
OMB: 0930-0216
IC ID: 46705
OMB.report
HHS/SAMHSA
OMB 0930-0216
ICR 201608-0930-005
IC 46705
( )
Documents and Forms
Document Name
Document Type
Form Training Followup
Participants - Training Follow-up
Form and Instruction
Training Followup Training Followup Form
Attachment.3.Training.Followup.Form 6.7.16.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Participants - Training Follow-up
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Training Followup Form
Training Followup Form
Attachment.3.Training.Followup.Form 6.7.16.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,500
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 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
7,500
0
0
0
0
7,500
Annual IC Time Burden (Hours)
1,200
0
0
0
0
1,200
Annual IC Cost Burden (Dollars)
0
0
0
0
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.