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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women

ICR 199707-0917-001 · OMB 0917-0019 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6574 Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women Migrated
ICR Details
0917-0019 199707-0917-001
Historical Active
HHS/IHS
Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/09/1997
Retrieve Notice of Action (NOA) 07/11/1997
  Inventory as of this Action Requested Previously Approved
09/30/2000 09/30/2000
3,182 0 0
1,799 0 0
492,980,000 0 0
The proposed data collection will provide information that will be used to assess and improve the effectiveness of the IHS-supported treatment program for American Indian and Alaska Native women. The data will be used to guide policy development for health care services provided by IHS, tribes, and tribal organizations. Respondents are program staff and women using the services.
None
None
No
  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 3,182 0 0 3,182 0 0
Annual Time Burden (Hours) 1,799 0 0 1,799 0 0
Annual Cost Burden (Dollars) 492,980,000 0 0 492,980,000 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
07/11/1997