Administrator - PD/PM

Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services (TCE-HIV)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0317 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment 3 - Ins Administrator - PD/PM Form and Instruction
Attachment 3 - Ins Attachment 3 - Instruments Attachment 3.pdf Form and Instruction
Attachment 4.pdf Attachment 4 - Other IC Document

Information Collection (IC) Details

IC Title:	Administrator - PD/PM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Attachment 3 - Instruments	Attachment 3 - Instruments	Attachment 3.pdf		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 4 - Other	Attachment 4.pdf	08/02/2010

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