Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMHS-GPRA Satisfaction of Technical Assistance Survey New 800 128 0 Form and Instruction Screen Shots Screen Shots
Form and Instruction Attachment A - Online User's Survey Attachment A - Online User's Survey
CSAP Customer Satisfaction Survey New 150 10 0 Form and Instruction Survey Survey
Child, Adolescent and Family Branch New Community Technical Assistance Visit Survey New 180 30 0 Form Survey and Letters Survey and Letters
Co-Occurring Disorders Integration and Innovation (CODI) New 2985 241 0 Form and Instruction Formative Survey Formative Survey
Form and Instruction Satisfaction Survey Satisfaction Survey
Form and Instruction Impact Survey Impact Survey
Form and Instruction LC Survey LC Survey
Form and Instruction Satisfaction Survey Satisfaction Survey
Form and Instruction Formative Survey Formative Survey
Customer Feedback Survey on SAMHSA/OAS Publication: Short Report Series: The NSDUH Report, The DASIS Report, The DAWN Report New 1560 129 0 Form and Instruction Short Report Satisfaction Survey Short Report Satisfaction Survey
End-of Email Survey New 600 18 0 Form End-of Email Survey End-of Email Survey
Fetal Alcohol Spectrum Disorder (FASD) Center for Excellence New 6685 601 0 Form and Instruction Forms Attachments A-J
Pilot Testing in Opioid Treatment Programs (OTPs) of Modular Survey with OTP-Speicfic Questions New 1200 300 0 Form and Instruction Modular Survey - OTP Questions Modular Survey - OTP Questions
Recovery to Pratice Resource Center TA and Webinar Evaluation Form New 1880 156 0 Form and Instruction TA Evaluation Form TA Evaluation Form
Form and Instruction Webinar Evaluation Form Webinar Evaluation Form
SAMHSA/OAS Publication: National Directory of Drug and Alcohol Abuse Treatment Programs, 2008 New 2539 211 0 Form and Instruction Survey Survey
Shared Decision-Making in Mental Health Decision Support Tools New 724 171 0 Form and Instruction Survey #1 Consumer View of Workbook Survey #1 Consumer View of Workbook
Form and Instruction Survey #2 Provider View of Workbook Survey #2 Provider View of Workbook
Form and Instruction Survey #3 Consumer View of Decision Aid Survey #3 Consumer View of Decision Aid
Form and Instruction Survey #4 Provider View of Decision Aid Survey #4 Provider View of Decision Aid
Suicide Prevention Assessment and Resource Kits (SPARK) New 700 175 0 Form and Instruction User Feedback Form User Feedback Form
The Center for Mental Health Services (CMHS) Customer Satisfaction Survey New 150 10 0 Form and Instruction CMHS-Survey CMHS-Survey
The Grant Applicant and the The Grant Reviewer Surveys New 236 40 0 Form and Instruction Grant Applicant Survey Grant Applicant Survey
Form and Instruction Grant Reviewer Survey Grant Reviewer Survey
The Modular Survey on Consumer Perceptions of Care - CSAT New 2650 450 0 Form and Instruction Modular Survey Modular Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 23039 2670 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title