Survey

National Syringe Services Program (SSP) Evaluation

OMB: 0920-1359

IC ID: 248417

Information Collection (IC) Details

View Information Collection (IC)

Survey 0920-21DC
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21DC Survey Year One Attachment 7_Survey_Year 1.docx Yes Yes Fillable Fileable
Form and Instruction 0920-21DC Survey Year Two/Three Attachment 8_Survey_Year 2 and 3.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

480 300
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   90 %

  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 480 0 480 0 0 0
Annual IC Time Burden (Hours) 280 0 280 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshots Survey Year One Attachment 10_ Screenshots of Survey_Y1.pdf 07/16/2021
Screenshots Survey Year Two/Three Attachment 11_Screenshots of Survey_Y2-3.pdf 07/16/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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