Information Collection

Directory Of Minority Organizations Providing Services In Alcohol, Drug Abuse, And Mental Health

IC 111874 under ICR 198007-0930-003 · OMB 0930-0067.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

DIRECTORY OF MINORITY ORGANIZATIONS PROVIDING SERVICES IN ALCOHOL, DRUG ABUSE, AND MENTAL HEALTH

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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