Azalea Prevention Project

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379 Azalea and SBIRT Follow Up 2018.05.03.docx Other-follow-up survey
0990-0379 Azalea Curriculum PrePost 2018.05.04.docx Other-survey
SBIRT Curriculum Pre-test 2018.05.04.docx Other-survey
0990-0379 FT Generic Clearance Azalea Prevention Project 18.06.19.docx mini stament IC Document

Information Collection (IC) Details

IC Title:	Azalea Prevention Project	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-follow-up survey	0990-0379 Azalea and SBIRT Follow Up 2018.05.03.docx	No	Paper Only
Other-survey	0990-0379 Azalea Curriculum PrePost 2018.05.04.docx	No	Paper Only
Other-survey	SBIRT Curriculum Pre-test 2018.05.04.docx	No	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,650	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,650	3,650
Annual IC Time Burden (Hours)	913	913
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
mini stament	0990-0379 FT Generic Clearance Azalea Prevention Project 18.06.19.docx	06/19/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.