Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Client Check-in Questionnaire	New	2374	594	0	Form	none
Client Check-in Questionnaire	New	2374	594	0	Form	none
Client Focus Groups	New	27	41	0	Other-Focus group guide
Client Questionnaire - baseline	New	1187	1029	0	Form	none
Client Questionnaire - baseline	New	1187	1029	0	Form	none
Client Screener	New	1582	132	0	Form	none
Client questionnaire - 12 month follow-up	New	930	698	0	Form	none
Client questionnaire - 12 month follow-up	New	930	698	0	Form	none
Client questionnaire - 24 month follow-up	New	744	558	0	Form	none
Client questionnaire - 24 month follow-up	New	744	558	0	Form	none
Treatment Facility Staff Focus Groups	New	27	41	0	Other-Focus group guide
Total burden requested under this ICR:		6871	3093	0
To view an IC, click on IC Title