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Targeted Capacity Expansion Grants for Jail Diversion Programs - Baseline
Targeted Capacity Expansion Grants for Jail Diversion Programs
OMB: 0930-0277
IC ID: 7692
OMB.report
HHS/SAMHSA
OMB 0930-0277
ICR 201005-0930-002
IC 7692
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0277 can be found here:
2012-09-07 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Instruments
Targeted Capacity Expansion Grants for Jail Diversion Programs - Baseline
Form and Instruction
Instruments Instruments
OMB_JDTRInstruments.zip
Form and Instruction
Baseline Baseline
JDTR_Baseline 5.7.10.doc
Form and Instruction
OMB_JDTROtherAttachments.zip
Other Documents
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Targeted Capacity Expansion Grants for Jail Diversion Programs - Baseline
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Instruments
Instruments
OMB_JDTRInstruments.zip
Yes
Yes
Paper Only
Form and Instruction
Baseline
Baseline
JDTR_Baseline 5.7.10.doc
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,133
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,133
0
0
0
0
1,133
Annual IC Time Burden (Hours)
988
0
0
0
0
988
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Other Documents
OMB_JDTROtherAttachments.zip
09/04/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.