Augmentation Screener

National Survey of Substance Abuse Treatment Services (N-SSATS)

OMB: 0930-0106

IC ID: 191115

Information Collection (IC) Details

View Information Collection (IC)

Augmentation Screener
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Augmentation Screener Questionnaire Augmentation Screener Questionnaire Attachment A3- Augmentation screener questionnaire.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,300 0
   
State, Local, and Tribal Governments
 
   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 1,300 0 -700 0 0 2,000
Annual IC Time Burden (Hours) 104 0 -56 0 0 160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy