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Collaborators/Partners
Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services (TCE-HIV)
OMB: 0930-0317
IC ID: 194046
OMB.report
HHS/SAMHSA
OMB 0930-0317
ICR 201010-0930-001
IC 194046
( )
Documents and Forms
Document Name
Document Type
Form Partner-Collaborat
Collaborators/Partners
Form and Instruction
Partner-Collaborat Partner-Collaborator Instruments
Attachment 7-Partner-Collaborator Instruments.pdf
Form and Instruction
Attachment 8-Partner-Collaborator Other.pdf
Partner-Collaborator Other
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Collaborators/Partners
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
Partner-Collaborator Instruments
Partner-Collaborator Instruments
Attachment 7-Partner-Collaborator Instruments.pdf
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:
80
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
160
0
160
0
0
0
Annual IC Time Burden (Hours)
160
0
160
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Partner-Collaborator Other
Attachment 8-Partner-Collaborator Other.pdf
10/20/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.