Required Signature. As the Authorized Representative of [insert name of applicant organization] , I hereby certify to the best of my ability that the above responses are honest and true. Signature of Authorized Representative Date Appendix VI – Bi-Annual Infrastructure Progress Development Measures STATE ADOLESCENT TREATMENT ENHANCEMENT AND DISSEMINATION & STATE ADOLESCENT AND TRANSITIONAL AGED YOUTH TREATMENT ENHANCEMENT AND DISSEMINATION BI-ANNUAL INFRASTRUCTURE PROGRESS DEVELOPMENT MEASURES OMB #: 0930-0344 Expiration Date: 10/31/2017 Instructions: Please respond to all questions in the survey using information collected and funded activities completed in the past 6-month period (since the last reporting period). Please do not copy and paste responses provided in previous bi-annual survey.
Appears in 2 contracts
Samples: www.samhsa.gov, www.samhsa.gov
Required Signature. As the Authorized Representative of [insert name of applicant organization] , I hereby certify to the best of my ability that the above responses are honest and true. Signature of Authorized Representative Date Appendix VI III – Bi-Annual Infrastructure Progress Development Measures STATE ADOLESCENT TREATMENT ENHANCEMENT AND DISSEMINATION & STATE ADOLESCENT AND TRANSITIONAL AGED YOUTH TREATMENT ENHANCEMENT AND DISSEMINATION BI-ANNUAL INFRASTRUCTURE PROGRESS DEVELOPMENT MEASURES OMB #: 0930-0344 Expiration Date: 10/31/2017 Instructions: Please respond to all questions in the survey using information collected and funded activities completed in the past 6-month period (since the last reporting period). Please do not copy and paste responses provided in previous bi-annual survey.
Appears in 1 contract
Samples: www.samhsa.gov
Required Signature. As the Authorized Representative of [insert name of applicant organization] , I hereby certify to the best of my ability that the above responses are honest and true. Signature of Authorized Representative Date Appendix VI F – Bi-Annual Infrastructure Progress Development Measures Measures STATE ADOLESCENT TREATMENT ENHANCEMENT AND DISSEMINATION & STATE ADOLESCENT AND TRANSITIONAL AGED YOUTH TREATMENT ENHANCEMENT AND DISSEMINATION BI-ANNUAL INFRASTRUCTURE PROGRESS DEVELOPMENT MEASURES OMB #: 0930-0344 Expiration Date: 10/31/2017 Instructions: Please respond to all questions in the survey using information collected and funded activities completed in the past 6-month period (since the last reporting period). Please do not copy and paste responses provided in previous bi-annual survey.
Appears in 1 contract
Samples: www.samhsa.gov