STATE ALCOHOLISM PROFILE INFORMATION SYSTEM

ICR 198003-0930-002

OMB: 0930-0012

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
165933 Migrated
ICR Details
0930-0012 198003-0930-002
Historical Active 197911-0930-002
HHS/SAMHSA
STATE ALCOHOLISM PROFILE INFORMATION SYSTEM
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/25/1980
Approved with change 03/25/1980
Retrieve Notice of Action (NOA) 03/25/1980
  Inventory as of this Action Requested Previously Approved
06/30/1980 06/30/1980 03/31/1980
56 0 56
809 0 809
0 0 0



None
None


No

1
IC Title Form No. Form Name
STATE ALCOHOLISM PROFILE INFORMATION SYSTEM ADAMAAA, 0804

  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 56 56 0 0 0 0
Annual Time Burden (Hours) 809 809 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
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.
03/25/1980


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