SAMHSA Application for Peer Grant Reviewers

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0255 can be found here:

Documents and Forms

Document Name Document Type
Form Application SAMHSA Application for Peer Grant Reviewers Form and Instruction
Application Application call4reviewers.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SAMHSA Application for Peer Grant Reviewers	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	Application	Application	call4reviewers.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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