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Federal forms, ICRs, and supporting documents

Information Collection Request

EVALUATION OF TREATMENT OF DRUG AND ALCOHOL DEPENDENT PATIENTS

ICR 198002-2900-010 · OMB 2900-0256 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
174603 EVALUATION OF TREATMENT OF DRUG AND ALCOHOL DEPENDENT PATIENTS Form Migrated
ICR Details
2900-0256 198002-2900-010
Historical Active 197705-2900-009
VA
EVALUATION OF TREATMENT OF DRUG AND ALCOHOL DEPENDENT PATIENTS
No material or nonsubstantive change to a currently approved collection   No
Emergency 02/08/1980
Approved with change 02/08/1980
Retrieve Notice of Action (NOA) 02/08/1980
  Inventory as of this Action Requested Previously Approved
12/31/1980 12/31/1980 12/31/1980
69,860 0 69,860
19,930 0 19,930
0 0 0
THIS PROJECT INVOLVES THE DEVELOPMENT OF AN ADP-COMPATIBLE INFORMATION SYSTEM FOR USE AS A CONTINUING RESOURCE FOR EVALUATING CLIENT AND PROGRAM OUTCOME DATA. IT WILL PROVIDE AN IMPROVED CLINICAL ASSESSMENT FORMAT, WHICH WILL BE USEFUL FOR TREATMENT PLANNING AND FOR PROGRAM EVALUATION MEASURES.
None
None
No
1
IC Title Form No. Form Name
EVALUATION OF TREATMENT OF DRUG AND ALCOHOL DEPENDENT PATIENTS 10-7984-, A-G
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 69,860 69,860 0 0 0 0
Annual Time Burden (Hours) 19,930 19,930 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/08/1980