Mapping and Questionnaire Documents IA 30839 A0 (SAMHSA)

E-Government Website Customer Satisfaction Surveys

OMB: 1090-0008

IC ID: 235356

Information Collection (IC) Details

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Mapping and Questionnaire Documents IA 30839 A0 (SAMHSA) 30839 A0 (SAMHSA)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Q_SAMHSAMain_Web_Browse_201760518 Q_SAMHSAMain_Web_Browse_201760518 Q_SAMHSAMain_Web_Browse_201760518.xlsx Yes Yes Fillable Fileable
Form and Instruction Q_SAMHSAStore_Web_Browse_20160518 Q_SAMHSAStore_Web_Browse_20160518 Q_SAMHSAStore_Web_Browse_20160518.xlsx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

3,600 0
   
Individuals or Households
 
   100 %

  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 3,600 0 3,600 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
1090-0008 Survey Mapping Document (SAMHSA) IA 30839 A0_draft 1090-0008 Survey Mapping Document (SAMHSA) IA 30839 A0_draft.xlsx 03/14/2019
SAMHSA OMB Form 11.13.2018 IA 30839 A0 SAMHSA OMB Form 11.13.2018 IA 30839 A0.pdf 03/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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