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Social Network Analysis of a Service System for Transition Aged Youth
Social Network Analysis of a Service System for Transition Aged Youth
OMB: 0930-0283
IC ID: 45603
OMB.report
HHS/SAMHSA
OMB 0930-0283
ICR 200610-0930-002
IC 45603
( )
Documents and Forms
Document Name
Document Type
Form Instrument
Social Network Analysis of a Service System for Transition Aged Youth
Form and Instruction
Instrument Instrument
Appendix D.doc
Form and Instruction
Appendix B.pdf
Consent Letter
IC Document
Appendix B_1.pdf
Consent Letter
IC Document
Appendix B_2.pdf
Consent Letter
IC Document
Appendix C_1.pdf
IRB - U of MA
IC Document
Appendix C_2.pdf
IRB - Portland St U
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Social Network Analysis of a Service System for Transition Aged Youth
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Instrument
Instrument
Appendix D.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
110
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
110
0
110
0
0
0
Annual IC Time Burden (Hours)
138
0
138
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Consent Letter
Appendix B.pdf
09/15/2006
Consent Letter
Appendix B_1.pdf
09/15/2006
Consent Letter
Appendix B_2.pdf
09/15/2006
IRB - U of MA
Appendix C_1.pdf
09/15/2006
IRB - Portland St U
Appendix C_2.pdf
09/15/2006
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.