Information Collection

Email Update Subscriptions

IC 194260 under ICR 201008-0930-006 · OMB 0930-0313.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.