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Questionnaire - Police Officers
Science to Practice: Developing and Testing a Marketing Strategy for Preventing Alcohol-related Problems in College Communities
OMB: 0920-0988
IC ID: 206655
OMB.report
HHS/CDC
OMB 0920-0988
ICR 201304-0920-014
IC 206655
( )
Documents and Forms
Document Name
Document Type
Attachment C - CDC Questionnaire.docx
Other-WORD
Attachment G - CDC screenshots 2013.pdf
Screenshots
IC Document
Attachment F - Email invitation letter.doc
Email Invitation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Questionnaire - Police Officers
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
Other-WORD
Attachment C - CDC Questionnaire.docx
Yes
Yes
Fillable Printable
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:
600
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
600
0
600
0
0
0
Annual IC Time Burden (Hours)
600
0
600
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Screenshots
Attachment G - CDC screenshots 2013.pdf
04/23/2013
Email Invitation
Attachment F - Email invitation letter.doc
04/23/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.