OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

12-Month Follow-Up Participant Interview (Attachment K)

IC 243385 under ICR 202207-0970-012 · OMB 0970-0537.

Documents and Forms
Document Name
Document Type
Other-Participant Survey
Other-Participant Survey
Other-K-1: SUD Program Participant S
Other-K-1: SUD Program Participant S
Information Collection (IC) Details

View Information Collection (IC)

12-Month Follow-Up Participant Interview (Attachment K)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Participant Survey K_12- to 18-Month Follow-Up Participant Survey_Phase 2_CLEAN.docx No   Fillable Fileable
Other-K-1: SUD Program Participant Survey BEES K-1 12- to 18-month Follow-up Participant Survey_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,707 0
   
Individuals or Households
 
   0 %

  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 1,707 0 0 0 0 1,707
Annual IC Time Burden (Hours) 854 0 0 0 0 854
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.