Parents' Night Out During Presentation Survey

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

OMB: 0930-0197

IC ID: 245915

Information Collection (IC) Details

View Information Collection (IC)

Parents' Night Out During Presentation Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Parents' Nigtht Out During Presentation Survey Parents' Nigtht Out During Presentation Survey Parents_Night_Out_During_Pres_Survey(Att-A).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Parents' Nigtht Out During Presentation Survey  75 FR 28264

500 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 70 0 70 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PNO_Supplemental_Statement-Justification_Attachment A PNO_Supplemental_Statement-Justification_Attachment A.docx 02/22/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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