State Survey

Survey of State Underage Drinking Prevention Policies, Programs, and Practices

Documents and Forms

Document Name Document Type
Form STOP Survey State Survey Form and Instruction
STOP Survey STOP Survey 2024_STOP_survey_Word_Clean.docx Form and Instruction
STOP Survey STOP Survey 2024_STOP_survey_Word_Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	State Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	STOP Survey	STOP Survey	2024_STOP_survey_Word_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	51	0	51
Annual IC Time Burden (Hours)	944	41	903
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.