Information Collection

Annual Reports for PATH)

IC 7600 under ICR 201508-0930-002 · OMB 0930-0205.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0205 can be found here:

Documents and Forms

Document Name Document Type
Form Annua lReport Manu Annual Reports for PATH) Form and Instruction
Annua lReport Manu Annual Report Manual Attachment A-AnnualReportManual_March2015.docx Form and Instruction
Attachment C Data Advisory Committee Members Consulted.pdf Data Advisory Committee Members Consulted IC Document
Attachment D Comments.pdf Comments IC Document
Attachment E SAMHSA's Response to the Comments.pdf SAMHSA's Responses IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Reports for PATH)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Annua lReport Manual	Annual Report Manual	Attachment A-AnnualReportManual_March2015.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 548	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	548	-11	0	559
Annual IC Time Burden (Hours)	10,960	0	-7,206	18,166
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Data Advisory Committee Members Consulted	Attachment C Data Advisory Committee Members Consulted.pdf	09/26/2012
Comments	Attachment D Comments.pdf	09/26/2012
SAMHSA's Responses	Attachment E SAMHSA's Response to the Comments.pdf	09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.