Information Collection

Annual SMP/SHIP National Training Conference Survey

IC 242414 under ICR 202306-0985-003 · OMB 0985-0068.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual SMP/SHIP National Training Conference Survey	Form and Instruction
ACL Annual SMP/SHIP National Training Conference Evaluat 0068 Annual SMPSHIP National Training Conference Eval Template.pdf	Form and Instruction
ACL Annual SMP/SHIP National Training Conference Evaluat 0068 Annual SMPSHIP National Training Conference Eval Template.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	NA	ACL Annual SMP/SHIP National Training Conference Evaluation	0068 Annual SMPSHIP National Training Conference Eval Template.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 526

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	526	162	364
Annual IC Time Burden (Hours)	132	41	91
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.