Information Collection

Access to Recovery (ATR) Program

IC 7682 under ICR 200802-0930-001 · OMB 0930-0266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0266 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachments-CDE Access to Recovery (ATR) Program	Form and Instruction
Attachments-CDE Attachments-CDE Tools-AttachCDE.zip	Form and Instruction
AttachABFGH.zip Attachments-ABFGH	IC Document

IC Title:

Access to Recovery (ATR) Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	Attachments-CDE	Attachments-CDE	Tools-AttachCDE.zip		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	586,666	188,440	398,226
Annual IC Time Burden (Hours)	81,627	309	81,318
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachments-ABFGH	AttachABFGH.zip	02/13/2008

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