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Federal forms, ICRs, and supporting documents

Information Collection

National Syringe Services Program Evaluation

IC 248417 under ICR 202310-0920-001 · OMB 0920-1359.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Syringe Services Program Evaluation 0920-1359
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a NSSSP Instrument 2024+ Att 7a_NSSSP Instrument 2024+_final.docx Yes Yes Fillable Fileable
Form and Instruction n/a NSSSP Instrument 2024+ (Spanish) Att 7b_Spanish version_NSSSP Instrument 2024+_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,000 600
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 1,000 0 520 0 0 480
Annual IC Time Burden (Hours) 583 0 303 0 0 280
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshots NSSSP Instrument 2024+ Att 9_Screenshot of NSSSP 2024+_final.pdf 10/13/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.