Information Collection

Promoting Older Women's Engagement in Recovery (POWER) Post Training Surveys

IC 231850 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⚠️ Notice: This information collection may be referencing outdated material.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
POWER Provider Trauma Trainng Survey_Final Spring 2018.docx	Other-training survey
POWER Provider SBIRT Trainng Survey_Final Spring 2018.docx	Other-survey SBIRT
POWER Provider Opioids Trainng Survey_Final Spring 2018.docx	Other-Opioids training
POWER Provider MI Training Survey_Final Spring 2018.docx	Other-survey
POWER 3 Month Follow Up Provider Trauma Survey.docx	Other-3 month follow-up training
POWER 3 Month Follow Up Provider Opioids Survey.docx	Other-Opioids Follow up
POWER 3 Month Follow Up Provider MI Survey.docx	Other-Follow-upProvider MI Survey
POWER 3 Month Follow Up Provider SBIRT Survey (002).docx	Other-Follow-up SBIRT
FastTrack_ POWER 4 provider training surveys 6-20-18.docx SS-A	IC Document

IC Title:

Promoting Older Women's Engagement in Recovery (POWER) Post Training Surveys

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-training survey	POWER Provider Trauma Trainng Survey_Final Spring 2018.docx	No	Paper Only
Other-survey SBIRT	POWER Provider SBIRT Trainng Survey_Final Spring 2018.docx	No	Paper Only
Other-Opioids training	POWER Provider Opioids Trainng Survey_Final Spring 2018.docx	No	Paper Only
Other-survey	POWER Provider MI Training Survey_Final Spring 2018.docx	No	Paper Only
Other-3 month follow-up training	POWER 3 Month Follow Up Provider Trauma Survey.docx	No	Paper Only
Other-Opioids Follow up	POWER 3 Month Follow Up Provider Opioids Survey.docx	No	Paper Only
Other-Follow-upProvider MI Survey	POWER 3 Month Follow Up Provider MI Survey.docx	No	Paper Only
Other-Follow-up SBIRT	POWER 3 Month Follow Up Provider SBIRT Survey (002).docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 515

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	515	515
Annual IC Time Burden (Hours)	46	46
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS-A	FastTrack_ POWER 4 provider training surveys 6-20-18.docx	06/22/2018

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