Information Collection

ODP Pathways to Prevention Workshop Survey III

IC 233641 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 ODP Pathways to Prevention Workshop Survey III Form
1 P2P Post Survey Screenshots P2P Post Survey Screenshots_20181012.docx Form
Fast Track Template - Pathways to Prevention Workshop Survey III (002).doc ODP Pathways to Prevention Workshop Survey III IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ODP Pathways to Prevention Workshop Survey III	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	P2P Post Survey Screenshots	P2P Post Survey Screenshots_20181012.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ODP Pathways to Prevention Workshop Survey III	Fast Track Template - Pathways to Prevention Workshop Survey III (002).doc	10/19/2018

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