Information Collection

Substance Abuse Prevention and Treatment Block Grant (SAPTBG) Regulations (45 CFR Part 96) and FY 2005-2007 Application Format

IC 7499 under ICR 201005-0930-001 · OMB 0930-0080.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Tab B - Guidance A Substance Abuse Prevention and Treatment Block Grant (SAPTBG) Regulations (45 CFR Part 96) and FY 2005-2007 Application Format	Form and Instruction
Tab B - Guidance A Tab B - Guidance Application Tab B-SAPT_BG_FY_2011-2013_FINAL_05-18-2010.doc	Form and Instruction
Tab A-Substance_Abuse_Prevention_and_Treatment_Block_Grant_Interim_Final_Rule_45_CFR_Part_96) pdf.pdf Tab A - Final Rule	IC Document
Tab C-State_Comments_and_SAMHSA_Response_to_FRN_FINAL_04-08-2010.doc Tab C - Comments	IC Document

IC Title:

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	Tab B - Guidance Application	Tab B - Guidance Application	Tab B-SAPT_BG_FY_2011-2013_FINAL_05-18-2010.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

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	60	0	60
Annual IC Time Burden (Hours)	33,325	-800	34,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Tab A - Final Rule	Tab A-Substance_Abuse_Prevention_and_Treatment_Block_Grant_Interim_Final_Rule_45_CFR_Part_96) pdf.pdf	05/25/2010
Tab C - Comments	Tab C-State_Comments_and_SAMHSA_Response_to_FRN_FINAL_04-08-2010.doc	05/25/2010

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