Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Augmentation Screener Modified 2000 160 0 Form and Instruction Augmentation screener questionnaire Augmentation screener questionnaire
Drug and Alcohol Services Information System - TEDS Admission Removed 0 0 0 Form and Instruction TEDS TEDS
Drug and Alcohol Services Information System - TEDS Discharge Removed 0 0 0 Form and Instruction TEDS TEDS
Drug and Alcohol Services Information System - TEDS Discharge Crosswalks Removed 0 0 0 Form and Instruction TEDS TEDS
I-BHS Modified 7840 627 0 Form and Instruction I-BHS Online forms I-BHS Online forms
I-BHS Application Modified 600 48 0 Form and Instruction I-BHS Facility application form I-BHS Facility application form
N-SSATS Modified 17000 9860 0 Form and Instruction N-SSATS 2013 full questionnaire N-SSATS 2013 full questionnaire
Form and Instruction N-SSATS 2013 web screens for on-line questionnaire N-SSATS 2013 web screens for on-line questionnaire
Form and Instruction N-SSATS 2013 CATI Questionnaire N-SSATS 2013 CATI Questionnaire
N-SSATS BC Modified 2000 840 0 Form and Instruction N-SSATS 2014 abbreviated questionnaire N-SSATS 2014 abbreviated questionnaire
Total burden requested under this ICR: 29440 11535 0  
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