OMB control number

Violence Intervention to Enhance Lives (VITEL) Supplemental Grant Evaluation

OMB 0930-0355 · HHS/SAMHSA.

OMB 0930-0355

Latest forms, documents, and information collections
Document	Type
Form Administrative_Dir Administrative_Direct Staff_Partner_ Data Sheet	Form and Instruction
Form Progress Report Progress Report	Form and Instruction
Form Partner-Collab SS Partner-Collab SS Interview Guide	Form and Instruction
Form Direct Staff SS In Direct Staff SS Interview Guide	Form and Instruction
Form Exec-Admin Staff S Exec-Admin Staff SS Interview Guide	Form and Instruction
Form SIX MONTH FOLLOW-U SIX MONTH FOLLOW-UP Client Level Survey	Form and Instruction
Form DISCHARGE Client L DISCHARGE Client Level Survey	Form and Instruction
Form BASELINE Client Le BASELINE Client Level Survey	Form and Instruction
Form Client Focus Group Client Focus Group	Form and Instruction
VITEL - OMB SS-A 1.4.16.docx	Supporting Statement A
VITEL - OMB SS-B 12.15.15.docx	Supporting Statement B
Executives, PD/PM-Progress Report	Form and Instruction
Executives, PD/PM-Progress Report	Form and Instruction
Community Collaborators-Semi-Structured Interviews	Form and Instruction
Direct Staff-Semistructured Interviews	Form and Instruction
Executives, PD/PM-Semi-Structured Interviews	Form and Instruction
Clients	Form and Instruction
Clients	Form and Instruction
Clients	Form and Instruction
Clients	Form and Instruction

Historical document collections
Reference	Filing	Received	Concluded	Action
201601-0930-001	New collection (Request for a new OMB Control Number)	2016-01-11		Approved without change