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

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.