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⚠️ Notice: This information collection may be referencing outdated material.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 Screenshot of SAMH Email Update Subscriptions Form and Instruction
Screenshot of SAMH Screenshot of SAMHSA's email subscription web form Screenshot 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: 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	Screenshot of SAMHSA's email subscription web form	Screenshot of SAMHSA's email subscription web form	Screenshot of SAMHSA's email subscription web form.jpg		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,138	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,138	-2,862	24,000
Annual IC Time Burden (Hours)	359	-49	408
Annual IC Cost Burden (Dollars)	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.