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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 231850 under ICR 201708-0990-001 · OMB 0990-0379.

Documents and Forms
Document Name
Document Type
Other-training survey
Other-survey SBIRT
Other-Opioids training
Other-survey
Other-3 month follow-up training
Other-Opioids Follow up
Other-Follow-upProvider MI Survey
Other-Follow-up SBIRT
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted 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

Health Health Care Services

 

515 0
   
Individuals or Households
 
   0 %

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

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.