View Information Collection (IC)
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View Information Collection (IC)

National Syringe Services Program Evaluation 0920-22DB
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21DC Survey Year Two/Three Attachment 8_Survey_Year 2 and 3.docx Yes Yes Fillable Fileable
Form and Instruction 0920-22DB Survey Year 1 OMB Approved SSP Survey_Year 1.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

480 300
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 480 0 0 0 0 480
Annual IC Time Burden (Hours) 280 0 0 0 0 280
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshots Survey Year One Attachment 10_ Screenshots of Survey_Y1.pdf 07/16/2021
Screenshots Survey Year Two/Three Attachment 11_Screenshots of Survey_Y2-3.pdf 07/16/2021
Memo_Non-Substantive Change Request_0920-1359 Memo_Non-Substantive Change Request_0920-1359.docx 03/01/2022
SSP Survey OMB Change Justifications 2022.02.22 SSP Survey OMB Change Justifications 2022.02.22.xlsx 03/01/2022
SSP Evaluation_track changes_ NS change request_2022_02_17 SSP Evaluation_track changes_ NS change request_2022_02_17.docx 03/01/2022
SSP Evaluation_clean_ NS change request_2022_02_17 SSP Evaluation_clean_ NS change request_2022_02_17.docx 03/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.