Group Encounter Log

Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)

OMB: 0930-0270

IC ID: 201608

Information Collection (IC) Details

View Information Collection (IC)

Group Encounter Log
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Group Encounter Log Group Encounter Log -Att-B-GroupEncounterLog-508-OMB2022_2022-01-11 _ clean.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Group Encounter Log  75 FR 28264

750 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 24,750 0 21,450 0 0 3,300
Annual IC Time Burden (Hours) 1,238 0 1,073 0 0 165
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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