Information Collection

Pathways to Prevention - Non-profit

IC 230158 under ICR 201802-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Pathways to Prevention - Non-profit	Form
1 P2P Survey screenshots 2016.2.9. P2P Survey Screen Shots.OMB.final.docx	Form
Fast Track Template - Pathways to Prevention_revised_NonProfit.doc ODP Pathways to Prevention - Nonprofit	IC Document

IC Title:

Pathways to Prevention - Non-profit

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	P2P Survey screenshots	2016.2.9. P2P Survey Screen Shots.OMB.final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ODP Pathways to Prevention - Nonprofit	Fast Track Template - Pathways to Prevention_revised_NonProfit.doc	02/16/2018

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