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Federal forms, ICRs, and supporting documents

Information Collection Request

PRETEST OF SURVEY OF DRINKING BEHAVIORS AMONG VA OUTPATIENTS

ICR 198007-2900-002 · OMB 2900-0290 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147879 PRETEST OF SURVEY OF DRINKING BEHAVIORS AMONG VA OUTPATIENTS Migrated
ICR Details
2900-0290 198007-2900-002
Historical Active 197907-2900-004
VA
PRETEST OF SURVEY OF DRINKING BEHAVIORS AMONG VA OUTPATIENTS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/23/1980
Retrieve Notice of Action (NOA) 07/23/1980
  Inventory as of this Action Requested Previously Approved
08/31/1980 08/31/1980
1,556 0 0
608 0 0
0 0 0

None
None
No
1
IC Title Form No. Form Name
PRETEST OF SURVEY OF DRINKING BEHAVIORS AMONG VA OUTPATIENTS
  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 1,556 0 0 0 1,556 0
Annual Time Burden (Hours) 608 0 0 0 608 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.
07/23/1980