Information Collection

Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2005-2007

IC 7625 under ICR 200708-0930-003 · OMB 0930-0222.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0222 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment B - 200 Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2005-2007	Form and Instruction
Attachment B - 200 Clean Copy Att B - Proposed 2008-10 ASR Format - Clean Copy.doc	Form and Instruction
Attachment C - 008 Changes - Marked Copy Att C - Proposed 2008-10 ASR Format - Changes Shown.doc	Form and Instruction
Att E Instructions for Completing the FFY 2008 ASR - Changes Shown.doc Attachment E - Instructions to States	IC Document
Att F - Sec 214 2004.doc Attachment F - Sample Synar Alternative Penalty	IC Document
Att D1 FFY2008-10 ASR.pdf Attachment D1 - Reducing Yourth Access to Tobacco Report	IC Document
Att D2 - SAMHSA Response to final GAO Rpt 1-11-02.doc Attachment D2 - SAMHSA's Response to the Report	IC Document

IC Title:

Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2005-2007

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	Attachment B - 2008-2010 Annual Synar Report	Clean Copy	Att B - Proposed 2008-10 ASR Format - Clean Copy.doc		Yes	Yes	Paper Only
Form and Instruction	Attachment C - 008-2010 Annual Synar Report Format	Changes - Marked Copy	Att C - Proposed 2008-10 ASR Format - Changes Shown.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	1,062	1,062
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment E - Instructions to States	Att E Instructions for Completing the FFY 2008 ASR - Changes Shown.doc	08/03/2007
Attachment F - Sample Synar Alternative Penalty	Att F - Sec 214 2004.doc	08/03/2007
Attachment D1 - Reducing Yourth Access to Tobacco Report	Att D1 FFY2008-10 ASR.pdf	08/03/2007
Attachment D2 - SAMHSA's Response to the Report	Att D2 - SAMHSA Response to final GAO Rpt 1-11-02.doc	08/03/2007

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