Information Collection

Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2011-2013

IC 7625 under ICR 201003-0930-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form Attachment A - Ann Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2011-2013 Form
Attachment B- FFY 2011 ASR Instructions_FINAL.doc Instruction
Attachment A - Ann Attachment A - Annual Synar Report Attachment A - FFY_2011_ASR_BLANK_FINAL_EDIT_1_7_10.doc Form
Attachment C - ASR_Public_Comments.pdf Attachment C - Comments IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Substance Abuse Prevention and Treatment Block Grant Synar Report Format, FY 2011-2013	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Attachment A - Annual Synar Report	Attachment A - Annual Synar Report	Attachment A - FFY_2011_ASR_BLANK_FINAL_EDIT_1_7_10.doc		Yes	Yes	Paper Only
Instruction			Attachment B- FFY 2011 ASR Instructions_FINAL.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 %

	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

Title	Document	Date Uploaded
Attachment C - Comments	Attachment C - ASR_Public_Comments.pdf	03/12/2010

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