Information Collection

ODP Pathways to Prevention Workshop Survey IV (OD)

IC 244694 under ICR 201906-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 ODP Pathways to Prevention Workshop Survey IV (OD)	Form
1 P2P PA-WCU post workshop screenshots P2P PA-WCU post-workshop evaluation_screenshots - Fast Track Survey 0925 0648 (1).docx	Form
Fast Track Template - Pathways to Prevention Workshop Survey IV 11172020 (1).docx fast track for Pathways to Prevention Workshop Survey IV (P2P )	IC Document

IC Title:

ODP Pathways to Prevention Workshop Survey IV (OD)

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 PA-WCU post workshop screenshots	P2P PA-WCU post-workshop evaluation_screenshots - Fast Track Survey 0925 0648 (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
fast track for Pathways to Prevention Workshop Survey IV (P2P )	Fast Track Template - Pathways to Prevention Workshop Survey IV 11172020 (1).docx	11/30/2020

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