Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Client Check-in Questionnaire	Removed	0	0	0	Form	none
Client Check-in Questionnaire	Removed	0	0	0	Form	none
Client Focus Groups	Removed	0	0	0	Other-Focus group guide
Client Questionnaire - baseline	Removed	0	0	0	Form	none
Client Questionnaire - baseline	Removed	0	0	0	Form	none
Client Screener	Removed	0	0	0	Form	none
Client questionnaire - 12 month follow-up	Removed	0	0	0	Form	none
Client questionnaire - 12 month follow-up	Removed	0	0	0	Form	none
Client questionnaire - 18 month follow-up	Modified	400	300	0	Form	none
Treatment Facility Staff Focus Groups	Removed	0	0	0	Other-Focus group guide
Total burden requested under this ICR:		400	300	0
To view an IC, click on IC Title