Organizer Survey

Assessment of the Underage Drinking Prevention: Town Hall Meetings Initiative

OMB: 0930-0288

IC ID: 182093

Information Collection (IC) Details

View Information Collection (IC)

Organizer Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Organizer Survey Organizer Survey Attachment 1 - Organizer Survey_10-13-16.doc Yes Yes Fillable Fileable

Health Public Health Monitoring

 

500 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 500 0 -1,720 0 0 2,220
Annual IC Time Burden (Hours) 84 0 -655 0 0 739
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Initial Email Attachment 7 - Initial E-Mail to Organizers_Organizer Survey_10-13-16.docx 01/19/2017
Reminder Email Attachment 8 - Reminder E-Mail to Organizers_Organizer Survey_10-13-16.docx 01/19/2017
ICF IRB Attachment 5 - ICF IRB Review Findings Form_10-13-16.pdf 01/19/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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