Email Update Subscriptions

Registration for Behavioral Health Web Site and Resources

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0313 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment 3 - Scr Email Update Subscriptions Form and Instruction
Attachment 3 - Scr Attachment 3 - Screen Shot Email Sub Web Form Attachment 3 - Screen shot of SAMHSA's email subscription Web form.JPG Form and Instruction

Information Collection (IC) Details

IC Title:	Email Update Subscriptions	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 - Screen Shot Email Sub Web Form	Attachment 3 - Screen Shot Email Sub Web Form	Attachment 3 - Screen shot of SAMHSA's email subscription Web form.JPG		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,000	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 Agency Discretion
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	408	408
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.