Information Collection Request

Assessment of the Underage Drinking Prevention Initiative

ICR 202310-0930-003 · OMB 0930-0288 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Organizer Survey Organizer Survey Form and Instruction Modified Repair queued
Attachment_B_CommunitiesTalk_OMB_SS-B_Mod_10.25.23 CLEAN.docx Supporting Statement B Uploaded 2023-10-26 Repair queued
1. Attachment_A_CommunitiesTalk_OMB_SS-A_Mod_Revised_7.10_clean.docx Supporting Statement A Uploaded 2023-10-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
182093 Organizer Survey Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2025
500 1,000
125 167
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Organizer Survey Organizer Survey Organizer Survey

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 1,000 0 -500 0 0
Annual Time Burden (Hours) 125 167 0 -42 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No