Information Collection

Azalea Prevention Project

IC 231844 under ICR 201708-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0379 Azalea and SBIRT Follow Up 2018.05.03.docx	Other-follow-up survey
0990-0379 Azalea Curriculum PrePost 2018.05.04.docx	Other-survey
SBIRT Curriculum Pre-test 2018.05.04.docx	Other-survey
0990-0379 FT Generic Clearance Azalea Prevention Project 18.06.19.docx mini stament	IC Document

IC Title:

Azalea Prevention Project

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-follow-up survey	0990-0379 Azalea and SBIRT Follow Up 2018.05.03.docx	No	Paper Only
Other-survey	0990-0379 Azalea Curriculum PrePost 2018.05.04.docx	No	Paper Only
Other-survey	SBIRT Curriculum Pre-test 2018.05.04.docx	No	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,650

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,650	3,650
Annual IC Time Burden (Hours)	913	913
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
mini stament	0990-0379 FT Generic Clearance Azalea Prevention Project 18.06.19.docx	06/19/2018

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