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CAM Data Form
Children Affected by Methamphetamine in Family Drug Treatment Court
OMB: 0930-0330
IC ID: 198965
OMB.report
HHS/SAMHSA
OMB 0930-0330
ICR 201108-0930-002
IC 198965
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0330 can be found here:
2015-06-18 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form CAM Data Collectio
CAM Data Form
Form and Instruction
CAM Data Collectio CAM Data Collection Form
Attachment_A_CAM_COLLECTION FORM[1].pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CAM Data Form
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
CAM Data Collection Form
CAM Data Collection Form
Attachment_A_CAM_COLLECTION FORM[1].pdf
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
483
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
966
0
966
0
0
0
Annual IC Time Burden (Hours)
483
0
483
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.