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

View Information Collection (IC)

Health Education Campaign Communication (HECC)
 
New
 
Voluntary
 
5 CFR 1320.8(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HECC IDI GUIDE Current Use HECC IDI GUIDE Current Use SAMHSA_HECC_IDI_Guide_CurrentUse OMB REVISED 14MAR2024.docx Yes Yes Fillable Fileable
Form and Instruction HECC IDI GUIDE In Treatment HECC IDI GUIDE In Treatment SAMHSA HECC_IDI_Guide_In Treatment OMB REVISED 14MAR2024.docx Yes Yes Fillable Fileable
Form and Instruction HECC IDI Screener HECC IDI Screener SAMHSA HECC IDI Screener OMB REVISED 14MAR2024.docx Yes Yes Fillable Fileable
Form and Instruction HECC Key Informant Health Workers Interview Guide HECC Key Informant Health Workers Interview Guide SAMHSA HECC_Key Informant health workers Interview Guide OMB REVISED 14MAR2024.docx Yes Yes Fillable Fileable
Form and Instruction HECC Key Informant Close Contacts Interview Guide HECC Key Informant Close Contacts Interview Guide SAMHSA HECC_Key Informant close contacts Interview Guide OMB REVISED 14MAR2024.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)   75 FR 28264

180 0
   
State, Local, and Tribal Governments
 
   100 %

  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 180 0 180 0 0 0
Annual IC Time Burden (Hours) 108 0 108 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HECC Template Request 0930-0397 HECC Request 2024-03-13_ REVISED 14MAR2024.docx 03/19/2024
HECC Support Protocol SAMHSA HECC Support Protocol for Research Participants Approved FINAL.docx 03/19/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.